Precious Moments Childcare Center

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

“One child enrolled on October 20, 2025, had a medical exam on file dated December 5, 2025. The medical exam was due by November 19, 2025.”

Rule Medical exam or health assessment record was not on file before or within 30 days after admission.. Corrected during the inspection.

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

“One (1) staff member, C. Hall, employed on June 3, 2024, and one (1) staff member, C. Harris, employed on April 4, 2014, did not have a current criminal background check on file.”

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: Jan 17, 2025. Correction verified: by a letter from the provider.

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

“On the playground for preschool age children, there was a large hole in the ground next to the fence.”

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 7, 2024. Correction verified: by a letter from the provider.

All equipment and furnishings were not in good repair.

“On the playground for preschool age children, there was a ride on toy with only 3 wheels and a cracked picnic table. On the playground for infants and toddlers, there was a cracked water table with sharp edges.”

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: Feb 7, 2024. Correction verified: by a letter from the provider.

Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider.

“Five children had a written permission to transport form that did not include when and where the child was to be transported and the expected time of departure and arrival.”

Rule Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 7, 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.

“On 1/2/24, three children were not signed out of care. On 1/8/24, one child was not signed out of are. On 1/11/24, 2 children were not signed out of care. On 1/12/24, two children were not signed out of care. On 1/24/24, two children were not signed out of care. On 1/25/24, three children were not signed out of care. On 1/27/24, one child was not signed out of care.”

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 7, 2024. Correction verified: by a letter from the provider.

Each adult and child was not restrained by appropriate individual belt/device.

“There were two expired booster seats used to transport children on the facility van.”

Rule Each adult and child was not restrained by appropriate individual belt/device.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 7, 2024. Correction verified: by a letter from the provider.

Emergency and identifying information, including the child’s name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported.

“There were no photographs for eighteen children that the facility provides transportation.”

Rule Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 7, 2024. 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 children: one enrolled 10/1/23 and one enrolled 12/13/23 did not have verification of a medical exam on file within 30 days of admission.”

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 7, 2024. Correction verified: by a letter from the provider.

Operational policies were not discussed with parents on or before the child’s first day and/or they were not notified in writing of all changes.

“Five children did not have verification that operational policies were discussed with parents on or before the child’s first day.”

Rule Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 7, 2024. Correction verified: by a letter from the provider.

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 parent participation plan was not posted in the center and there were five children without verification that the plan was discussed with parents on or before the first day of attendance.”

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: Feb 7, 2024. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“In space #1, there was one prescription Albuterol that the authorization expired 1/20/24. There were two prescription Ventalin inhalers that the authorization expired 12/19/23.”

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 7, 2024. 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 #2, there were plastic bags in the cabinet under the changing table. In space #3, there were plastic bags in a drawer of the wooden cabinet, accessible to children under 3 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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 7, 2024. Correction verified: by a letter from the provider.

Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional.

“In space #1,one syringe of Diazepam rectal gel was not in the original container with the pharmacy label.”

Rule Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 7, 2024. Correction verified: by a letter from the provider.

The activity plan did not provide at least 4 different activities daily listed in GS 110-91(12): art/creative play; books; blocks; manipulatives; and family living and dramatic play, including one of which is outdoors if weather conditions permit.

“In space #1 the activity plan listed free build for block activity. In space #2 the activity plan listed free choice for art, manipulatives, dramatic play and book activities.”

Rule The activity plan did not provide at least 4 different activities daily listed in GS 110-91(12): art/creative play; books; blocks; manipulatives; and family living and dramatic play, including one of which is outdoors if weather conditions permit.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 7, 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.

“One staff member employed 12/19/23, had verification of the review of the Shaken Baby Abusive Head Trauma policy on 1/3/24.”

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 written feeding plan was not modified as the child’s needs changed.

“In space #3, there were three feeding plans that were not updated to reflect changes in the child’s needs.”

Rule The written feeding plan was not modified as the child's needs changed.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 7, 2024. Correction verified: by a letter from the provider.