Nelson Head Start Center

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

“There was no shelter-in-place or lockdown drill documented since February 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: Oct 16, 2026. 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.

“There was no current emergency information in the file for J. Vazquez.”

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

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

“Two (2) children enrolled on 9/10/25 have medical reports dated 10/22/25 and 11/13/25.”

Rule Medical exam or health assessment record was not on file before or within 30 days after admission.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 25, 2025. Correction verified: by a letter from the provider.

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

“Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Fire inspection not completed as of the visit and previous inspection completed 1/31/25.”

Rule Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 25, 2025. Correction verified: by a letter from the provider.

Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter.

“There was no current health questionnaire on file for J. Vazquez.”

Rule Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 25, 2025. Correction verified: by a letter from the provider.

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

“EPR plan was not reviewed or updated annually.”

Rule The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 25, 2025. Correction verified: by a letter from the provider.

All staff did not review the center’s EPR Plan during orientation and/or on an annual basis with the trained staff.

“Documentation of the review was not maintained on file. The staff person new to this site on 9/22/25 has not reviewed a EPR plan since 9/11/2024.”

Rule All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff.. Corrected during the inspection.

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

“There was no health assessment on file for a child enrolled 9/11/24 in space #2”

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: Mar 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.

“The staff person completing the playground inspections has not completed the playground safety training.”

Rule Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 28, 2025. Correction verified: at a follow-up visit by DCDEE.

Parent’s medication authorization did not include required information.

“There was no medication authorization form on file for a child with albuterol medication in space #2.”

Rule Parent's medication authorization did not include required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 28, 2025. Correction verified: at a follow-up visit by DCDEE.

A screening assessing development was not conducted within 90 days after the first day of attendance in the program or within six months prior to the first day of attendance and/or the screening was not conducted by a health care, community or school professional trained in administering the screening tool.

“There was no developmental screening assessment on-site for one (1) enrolled NC Pre-K child.”

Rule A screening assessing development was not conducted within 90 days after the first day of attendance in the program or within six months prior to the first day of attendance and/or the screening was not conducted by a health care, community or school professional trained in administering the screening tool.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 23, 2024. 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.

“A container of LA’s Totally Awesome Degreaser was stored on a high shelf in the boy’s bathroom.”

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.

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.

“There was an uncovered outlet on the power strip near the desk in space #3 and one uncovered outlet on the power strip by the TV in space #2.”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 23, 2024. Correction verified: at a follow-up visit by DCDEE.

Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements.

“There is no documentation of a completed playground inspection since August 1, 2023.”

Rule Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 23, 2024. Correction verified: at a follow-up visit by DCDEE.

Parent’s medication authorization did not include required information.

“There was no medication authorization form on file for a child with diastat medication in space #2.”

Rule Parent's medication authorization did not include required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 23, 2024. Correction verified: at a follow-up visit by DCDEE.

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.

“Staff members hired 3/13/23 and 9/15/23 did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within the required time frame.”

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: Mar 1, 2024. Correction verified: by a letter from the provider.