The Nest School

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

“In space #9, the medication authorization form was not on file and available for review for one jar of A&D Prevent and Heal ointment.”

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

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

“On July 28, 2025, Environmental Health confirmed that squirrels are present in the attic. Per Sanitation Rule 15A NCAC 18A .2831 (b) Pests shall be excluded from the child care center. Traps set for pests shall only be placed in areas that are inaccessible to children.”

Rule A violation was found for which there is no item number.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 13, 2025. Correction verified: by a letter from the provider.

Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages.

“In space #6b, two (2) infants did not wash their hands upon arrival. In space #6a, one (1) infant did not wash his hands upon arrival. In space #7a, one (1) child did not wash his hands upon arrival. In space #4, one (1) child did not wash her hands upon arrival.”

Rule Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 13, 2025. Correction verified: by a letter from the provider.

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

“In space #1, the medication authorization form was not on file and available for review for one (1) jar of Destin, one (1) bottle of Boogie Diaper Rash spray, and one (1) tube of Aquaphor.”

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

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.

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 12, 2024. Correction verified: by a letter from the provider.

A current activity plan was not posted for each group of children for reference.

“In space #4 and space #10, the posted activity plan was dated April 29, 2024 to May 3, 2024.”

Rule A current activity plan was not posted for each group of children for reference.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 28, 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.

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: May 28, 2024. Correction verified: at a follow-up visit by DCDEE.

An individual written feeding plan was not provided by child’s parent or health care provider or was not followed and posted.

Rule An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 28, 2024. Correction verified: at a follow-up visit by DCDEE.

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

“One lead teacher with a hire date of April 4, 2023, did not have an annual staff evaluation on file for review. One lead teacher with a hire date of September 27, 2022, had a staff development plan on file dated October 7, 2022. One lead teacher with a hire date of August 18, 2022, had a staff development plan on file dated August 16, 2022. One lead teacher with a hire date of August 18, 2022, had a staff development plan on file dated August 16, 2022.”

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: May 28, 2024. Correction verified: at a follow-up visit by DCDEE.

Fire drills were not practiced monthly and/or the drill record was incomplete.

“The fire drill conducted on February 20, 2024, at 5:45pm did not document the time required to evacuate. The fire drill conducted on March 11, 2024, at 10:45am did not document the time required to evacuate.”

Rule Fire drills were not practiced monthly 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: May 28, 2024. Correction verified: at a follow-up visit by DCDEE.

Infants under the age of 12 months were not placed on their backs for sleeping unless the center had obtained the appropriate written waiver.

Rule Infants under the age of 12 months were not placed on their backs for sleeping unless the center had obtained the appropriate written waiver.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 28, 2024. Correction verified: at a follow-up visit by DCDEE.

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.

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 12, 2024. Correction verified: by a letter from the provider.

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

“In space #1, the medication authorization was not dated when the parent signed the form giving authorization to administer Boudreaux’s Butt Paste. In space #8, the medication authorization for one, 1.75 ounce container of Vaseline did not document the dates the authorization was valid.”

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: May 28, 2024. Correction verified: at a follow-up visit by DCDEE.

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.

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: May 28, 2024. Correction verified: at a follow-up visit by DCDEE.

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

“The most recent emergency drill, shelter-in-place, documented on the drill record was conducted on December 20, 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: May 28, 2024. Correction verified: at a follow-up visit by DCDEE.

Staff did not complete the health and safety training within one year of employment.

“One lead teacher with a hire date of April 4, 2023, did not complete the required health and safety training.”

Rule Staff did not complete the health and safety training within one year of employment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 28, 2024. Correction verified: at a follow-up visit by DCDEE.

Staff required to receive on-going training had not completed the required number of hours according to their education and experience.

“One lead teacher with a hire date of September 22, 2022, received two of the required ten hours of ongoing training.”

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: May 28, 2024. Correction verified: at a follow-up visit by DCDEE.

The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division.

“The EPR Plan was not available for review.”

Rule The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 6, 2024. 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.

“One employee with a hire date of January 8, 2024, completed the Recognizing and Responding to Suspicions of Child Maltreatment training on April 15, 2024. One employee with a hire date of November 7, 2023, completed the Recognizing and Responding to Suspicions of Child Maltreatment training on April 15, 2024.”

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: May 28, 2024. Correction verified: at a follow-up visit by DCDEE.

The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of.

“Upon arrival, children were observed on playground #4. One plastic cup, one white tissue, one plastic wrapper and one paper plate were observed on playground #4.”

Rule The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 28, 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.

“One aerosol can of Colorations Foam Paint was stored in the unlocked cabinet above the sink in space #4. One (1) twenty-four (24) ounce bottle of Clorox Toilet Bowl Cleaner and one (1) thirty-two (32) ounce bottle of Great Value Cleaner with Bleach were stored on top of the cubbies used to store children’s personal belongings, in space #10.”

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 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.

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 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. One staff with a hire date of September 11, 2023, did not have verification on file of successfully completing certification in First Aid. One staff with a hire date of October 16, 2023, did not have verification on file of successfully completing certification in First Aid.”

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

Appropriate discipline practices were not followed.

“Per staff report, one (1) child, two years of age, was popped on their hand by a teacher for playing with their food on December 12, 2023.”

Rule Appropriate discipline practices were not followed.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 8, 2024. Correction verified: at a follow-up visit by DCDEE.

Center did not maintain a record of daily attendance.

“In space #4, daily attendance was not maintained on November 7, 2023, November 8, 2023, November 9, 2023, November 10, 2023, November 13, 2023, November 14, 2023, November 15, 2023, and November 16, 2023. In space #7, daily attendance was not maintained on November 15, 2023, and November 16, 2023. In space #10, daily attendance was not maintained on November 15, 2023, and November 16, 2023.”

Rule Center did not maintain a record of daily attendance.. Corrected during the inspection.

Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child’s file.

“The incident report completed on September 28, 2023, did not include the time of the incident, witness to the incident, the location of the incident, time the parent was notified of the incident and by whom, and the steps to prevent reoccurrence. The incident report completed on November 1, 2023, did not list the witness to the incident, time the parent was notified of the incident and by whom, and was not signed by the person who completed the incident report.”

Rule Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 30, 2023. Correction verified: by a letter from the provider.