Dawn Fraley’s Home Day Care

Authorization for up to 12 months to apply over-the-counter medications, topical ointment, topical teething ointment or gel, insect repellents, fluoridated toothpaste, lotions, creams, and powders; such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed, was not in writing and did not contain information required by rule .1720(b)(7).

“There was no permission to administer medication form on file for one (1) tube of A&D Diaper Rash Ointment and Skin Protectant.”

Rule Authorization for up to 12 months to apply over-the-counter medications, topical ointment, topical teething ointment or gel, insect repellents, fluoridated toothpaste, lotions, creams, and powders; such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed, was not in writing and did not contain information required by rule .1720(b)(7).. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 1, 2026. Correction verified: by a letter from the provider.

Copy of each child’s immunization record, including the operator’s own preschool child(ren), was not on file.

“One (1) child, enrolled on April 13, 2026, did not have an immunization record on file.”

Rule Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 1, 2026. Correction verified: by a letter from the provider.

Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care.

“One (1) bag of Hi Mini Bath Bombs with multiple warnings, was on a shelf above the toilet in the restroom used by children, accessible to children. One (1) bottle of Myers Clean Day Multi Surface Everyday Cleaner, with multiple warnings, was on the counter top to the left of the handwashing sink in the restroom used by children, accessible to children.”

Rule Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care.. Corrected during the inspection.

Infant feeding plans did not include the required information, including but not limited to the type and amount of milk, formula and food, and the frequency of feedings, and/or was not available for reference.

“The infant feeding plan for one (1) infant, nine (9) months of age, did not have the signature of the parent or date the form was completed and was not updated to include feeding baby food to the infant. The infant was fed baby food during the visit.”

Rule Infant feeding plans did not include the required information, including but not limited to the type and amount of milk, formula and food, and the frequency of feedings, and/or was not available for reference.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 1, 2026. Correction verified: by a letter from the provider.

Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care.

“The cabinet under the sink in the kitchen, containing many aerosol air fresheners, cleaning products, and pesticides, was unlocked and accessible to children. In the restroom, used by children, one (1) bottle of Lysol Power Clinging Gel Toilet Bowl Cleaner, with multiple warnings, was on top of the shelf above the toilet, accessible to children. In the restroom used by children, one (1) container of Member’s Mark Disinfecting Wipes, with multiple warnings, was on the counter to the right of the handwashing sink, accessible to children.”

Rule Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care.. Corrected during the inspection.

Medication remaining after the course of treatment is completed, after authorization is withdrawn. or after authorization has expired, was not returned to the parent/guardian.

“Any medication not retrieved by parent/guardian within 72 hours of completion of treatment, or withdrawal of authorization, was not discarded. One (1) tube of Boudreauxs Butt Paste Max Strength expired December 2024, one (1) tube of Boudreauxs Butt Paste Original expired September 2024, and one (1) container of Boudreauxs Butt Paste Max Strength expired February 2025.”

Rule Medication remaining after the course of treatment is completed, after authorization is withdrawn. or after authorization has expired, was not returned to the parent/guardian.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 10, 2025. Correction verified: by a letter from the provider.

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 30 days.

“There was no documentation of visual sleep checks on file for one (1) infant, nine (9) months of age, enrolled on June 21, 2024, prior to December 16, 2024.”

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 30 days.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 18, 2025. Correction verified: by a letter from the provider.

Monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division.

“The most recent playground inspection was conducted on May 10, 2024.”

Rule Monthly check for hazards on the outdoor play area was not completed using a form supplied 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 18, 2025. Correction verified: by a letter from the provider.

Prescription or over-the-counter medication and topical, non-medical ointment, repellant, lotion, cream, fluoridated toothpaste, or powder was administered to any child without the required information.

“There were no permission to administer mediation forms on file for two (2) containers of Triple Paste Skin Protectant, two (2) containers of Boudreauxs Butt Paste Max Strength Diaper Rash Ointment, one (1) tube of Boudreauxs Butt Paste Max Strength Diaper Rash Ointment, one (1) tube of Boudreauxs Butt Paste Original Diaper Rash Ointment, and one (1) tube of Desitin Maximum Strength Diaper Rash Paste, all of which the operator confirmed had been administered at the facility.”

Rule Prescription or over-the-counter medication and topical, non-medical ointment, repellant, lotion, cream, fluoridated toothpaste, or powder was administered to any child without the required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 18, 2025. Correction verified: by a letter from the provider.

The operator did not conduct a monthly fire drill.

“The most recent fire drill was conducted on May 10, 2024.”

Rule The operator did not conduct a monthly fire drill.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 18, 2025. Correction verified: by a letter from the provider.

The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete.

“The most recent shelter-in-place or lockdown drill was conducted on March 5, 2024.”

Rule The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the 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: Jan 18, 2025. Correction verified: by a letter from the provider.

Prescription or over-the-counter medication and topical, non-medical ointment, repellant, lotion, cream, fluoridated toothpaste, or powder was administered to any child without the required information.

“There was no Permission to Administer Medication Form on file for two (2) containers of Boudreauxs Butt Paste Max Strength Diaper Rash Ointment, one (1) tube of Boudreauxs Butt Paste Max Strength Diaper Rash Ointment, one (1) tube of Boudreauxs Butt Paste Original Diaper Rash Ointment, and one (1) container of Triple Paste Zinc Oxide Skin Protectant. The Permission to Administer Medication Form for one (1) tube of Desitin Maximum Strength Diaper Rash Paste expired on July 11, 2023.”

Rule Prescription or over-the-counter medication and topical, non-medical ointment, repellant, lotion, cream, fluoridated toothpaste, or powder was administered to any child without 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 2, 2024. Correction verified: by a letter from the provider.

Sleeping infants, ages 12 months and younger were not visually checked every 15 minutes.

Rule Sleeping infants, ages 12 months and younger were not visually checked every 15 minutes.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 20, 2024. Correction verified: by a letter from the provider.