La Petite Academy, Inc.

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

“While conducting a walkthrough of the facility, twenty-one (21) children (17 children three years of age and 4 children four years of age) were observed with two (2) staff members in Space 5.”

Rule Enhanced staff/child ratios and group sizes were not met.. Corrected during the inspection.

A child was yelled at, shamed, humiliated, frightened, threatened or bullied.

“Two staff members used profanity directed at two children enrolled; one child cried following the incident. One child was not permitted to use the bathroom after asking at least three times.”

Rule A child was yelled at, shamed, humiliated, frightened, threatened or bullied..

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. The Criminal Background Check Qualification letter for three new staff members had not been linked to the facility’s ABCMS facility profile within five days of hire.”

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

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 Shaken Baby Policy for four children enrolled did not include the date the child first attended the center or the date the operator’s policy was given and explained to the parent.”

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.. 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 observed on file for review.”

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.. Corrected during the inspection.

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: Jun 16, 2026. Correction verified: by a letter from the provider.

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

“The CBC Qualification Letter for one existing staff member was not observed to be on file for review.”

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: Jun 16, 2026. Correction verified: by a letter from the provider.

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

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

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 of the two kitchen doors was observed unlocked, and the kitchen contains materials labeled Keep Out of Reach of Children with Additional Warnings.”

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 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 training certificate for CPR/FA certification for one new staff member with a start date of 5/02/25 was not observed on file for review. The training certificate for CPR/FA certification for one new staff member with a start date of 6/02/25 was not observed on file for review.”

Rule All staff did not successfully complete certification in CPR training appropriate to the age of the children in care.. 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.

“Health and Safety training topics numbers 1 through 8 and number 11 were not observed on file for one existing staff member; H & S training topic number 2 was not observed on file for another existing staff member. All Health & Safety trainings were not observed on file for an additional existing staff member.”

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: Jun 22, 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.

“The topical medication authorization form for one child enrolled was observed to have expired in October, 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.

“The topical medication form for one child enrolled did not include the date the instructions were signed by the parent. The subject medical condition for one child enrolled with an emergency medication was not observed recorded on the permission to administer medication form. The topical medication authorization form for a diaper cream one child enrolled was not observed on file for review.”

Rule Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.. Corrected during the inspection.

Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision.

“A set of foam peg boards with plastic pegs was observed on a shelf accessible to children in Space 6, a classroom designated for children two and three years of age; at least two of the peg boards were observed to have teeth marks, and this activity is a choking hazard.”

Rule Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision.. 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.

“The training certification for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment was not observed on file for the facility cook and for one existing staff member.”

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: Jun 16, 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.

“Two prescription diaper creams for two children enrolled were not returned to the parent after the course of treatment was completed and after authorization was withdrawn. One prescription cream was due to be returned to the parent on 11/06/25, and the other cream was due to be returned to the parent on or before 12/14/25; each of these diaper creams was removed from the classroom during the visit.”

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: Jan 6, 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 1, a space designated for children one year of age, thin loose and rolled plastic garbage bags were observed stored under an unlatched diaper table, accessible to children under three years of age.”

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

“The emergency contact information for two staff members and applications for eleven children enrolled were not observed in the Ready to Go file.”

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

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 last updated and printed from the Risk Management Portal on 7/30/24.”

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 copy of the Prevention of Shaken Baby and Abusive Head Trauma policy was not given to or explained to parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center.

“A signed receipt of the Shaken Baby and Abusive Head Trauma policy was not observed on file for one child enrolled.”

Rule A copy of the Prevention of Shaken Baby and Abusive Head Trauma policy was not given to or explained to parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center.. Corrected during the inspection.

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

“A current CBC qualification letter was not observed printed and on file for one new employee.”

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

All equipment and furnishings were not in good repair.

“On the playgrounds designated for children of toddler and School Age, the stationary equipment was observed to have coating which was cracking and rusting in greater than two areas.”

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

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 one new employee.”

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.. Corrected during the inspection.

Documentation of staff’s on-going training was not on file and/or was not current.

“A record of ongoing training was not observed on file for review for two existing employees.”

Rule Documentation of staff's on-going training was not on file and/or was not current.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 7, 2025. Correction verified: by a letter from the provider.

Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies.

“A job description for two new staff members was not observed on file. A signed receipt of personnel/operational policies was not observed on file for one new employee.”

Rule Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies.. Corrected during the inspection.

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

“Documentation of a current staff evaluation was not observed on file for one existing staff member.”

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: Jul 7, 2025. 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 1, a space designated for children one year of age, puzzles and other building manipulatives were observed stored greater than five feet from the ground, and a variety of other materials (home living, music, science, art, etc.) were not available in sufficient quantity to allow all children to use them at some time during the day with a range of choices.”

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.

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.

“Training certificates for Health & Safety training topic #s 1 through 8 were not observed on file for one existing staff member, and H & S training topics 1 through 4 and 8 were not observed on file for another existing staff member.”

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

Human milk, formula and other bottled beverages including sippy cups, sent from child’s home were not fully prepared, dated, and labeled for the appropriate child.

“The bottles for one child enrolled in Space 2 were not dated with a current date.”

Rule Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child.. Corrected during the inspection.

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

“A permission form to administer emergency medication was not observed on file one child enrolled in Space 5.”

Rule Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.. Corrected during the inspection.

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

“A record of staff orientation was not observed on file for one new employee.”

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

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 include staff 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.

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.

“A signed receipt of Shaken Baby policy was not observed on file for one new employee.”

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.. Corrected during the inspection.

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

“Signed documentation of a current annual Emergency Preparedness and Response training review was not observed on file for two existing employees; one existing employee signed this review during the visit.”

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

Child was handled roughly.

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: Feb 21, 2025. 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: Jan 15, 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 2, the diaper cream for one child enrolled was observed to have expired on 7/30/24. In Space 2, two diaper creams were observed for children no longer enrolled in care. In Space 3, the length of time the authorization is valid for the diaper cream authorization forms for two children enrolled was recorded as 10/09/24 and 10/10/24.”

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.

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 plastic diaper wrapper was observed stored under an unlatched diaper table, accessible to children under three years of age. In Space 6, a space designated for children two and three years of age, two plastic bags, large, plastic confetti used for a winter craft, and cotton snow were observed less than five feet from the ground and accessible to children under three years of age, creating potential choking hazards.”

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.

Children were not adequately supervised at all times.

“A child three years of age was left on a playground by the supervising teacher for approximately two minutes.”

Rule Children were not adequately supervised at all times.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 4, 2024. Correction verified: at a follow-up visit by DCDEE.

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

“On the playground used by children of preschool and School Age, one wooden board was observed to have become detached from the left side of the fencing, exposing three nails which were sharp to the touch. A jagged hole, sharp to the touch, was observed at the base of wooden fencing on the right side on the playground used by children of preschool and School Age.”

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 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. Three new employees did not receive CPR/FA certification within 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: Aug 2, 2024. Correction verified: by a letter from the provider.

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.

“In Space 1, one child enrolled did not have a time of arrival recorded.”

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: Aug 2, 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 Space 3, a classroom designated for children two years of age, the art center, blocks center, and home living center did not contain sufficient materials. No materials were available in the art center; three types of blocks with no accessories in the blocks center, and dolls and a small amount of plates and food in the home living center.”

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.

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.

“A signed receipt of the Parent Participation Plan was not observed on file during the visit for one child 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: Aug 2, 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 documented as being conducted in October, 2023; the next lockdown/shelter-in-place drill was not conducted until 2/19/2024.”

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: Aug 2, 2024. 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 did not contain staff contact information for two new employees.”

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

The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with parents of currently enrolled children 0-5 within 30 days of adopting the policy.

“A signed receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy was not observed on file during the visit for one child enrolled.”

Rule The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with parents of currently enrolled children 0-5 within 30 days of adopting the policy.. Corrected during the inspection.

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

“The Emergency Preparedness and Response Plan had not been updated since 5/22/2023.”

Rule The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 2, 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 four infants enrolled were not observed to have a parent’s 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: Aug 2, 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 5, a classroom designated for children three to five years of age, the art and reading centers did not contain sufficient materials for three children to use the space at the same time. Only stencils, crayons, and colored pencils were available in the art center, and only books were available in the reading center.”

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.

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

“In Space 6, a plastic wrapper was observed less than five feet from the ground and accessible to children less than three years of age. Ms. Parrish disposed of this wrapper during the visit. The base a wooden board on the preschool playground was observed to be broken and sharp to the touch.”

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 8, 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. A certificate for CPR was not observed on file one new employee, with a recorded start date of 9/18/2023.”

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: Feb 8, 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. A certificate for First Aid was not observed on file one new employee, with a recorded start date of 9/18/2023.”

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: Feb 8, 2024. Correction verified: by a letter from the provider.

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.

“One child enrolled in Space 7 was not signed in upon arrival.”

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: Feb 8, 2024. 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.

“The diaper creams for two children enrolled in Space 1 were not discarded or returned to the parent after parent authorization was withdrawn. These authorizations were withdrawn on 5/06/2023 and 10/19/2023 respectively.”

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.

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 completed between 7/25/2023 and 12/14/2023.”

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 8, 2024. Correction verified: by a letter from the provider.