Childcare Network #240

Incident logs were not completed and maintained as required.

“One (1) incident report form for an incident that occurred on April 29, 2026, was not documented on the incident log.”

Rule Incident logs were not completed and maintained as required.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 26, 2026. Correction verified: by a letter from the provider.

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. One (1) staff member, employed on July 12, 2019, one (1) staff member, employed on November 15, 2025, one (1) staff member, employed on October 14, 2025, one (1) staff member, employed on July 29, 2025, one (1) staff member, employed on February 24, 2026, one (1) staff member, employed on July 1, 2024, and one (1) staff member, employed on February 28, 2023, were not entered into the facility’s ABCMS Provider Portal.”

Rule A child care operator did not notify the Division of any new child care providers, as defined in G.S.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 20, 2026. Correction verified: by a letter from the provider.

Children’s records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child.

“There was no medical exam on file for one (1) child, enrolled on November 25, 2024.”

Rule Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 20, 2026. Correction verified: by a letter from the provider.

Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission.

“The immunization record on file for one (1) child, enrolled on August 19, 2024, was dated August 19, 2025. There was no immunization record on file for one (1) child, enrolled on August 10, 2025, or one (1) child, enrolled on November 25, 2024.”

Rule Each child was not immunized as per Article 6 of Chapter 130A and an immunization 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: May 20, 2026. Correction verified: by a letter from the provider.

Emergency medical care information was not on file in the center on the child’s first day of attendance and/or was not updated as changes occurred or at least annually for each child.

Rule Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 20, 2026. Correction verified: by a letter from the provider.

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

“In Space #11, two (2) staff members were caring for twenty-two (22) children, all three (3) years of age. In Space #9b during the afterschool program, one (1) staff member was caring for twenty-two (22) children, four (4) to seven (7) years of age. In Space #9c during the afterschool program, one (1) staff member was caring for twenty-three (23) children, seven (7) to ten (10) years of age.”

Rule Enhanced staff/child ratios and group sizes were not met.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 14, 2026. Correction verified: at a follow-up visit by DCDEE.

For each child, there was not at least 30 sq. ft. inside space per the total licensed capacity and 100 sq. ft. outside space for each child using the outdoor learning environment at any one time.

“In Space #9b, twenty-two (22) children were present. Per enhanced space requirements, the maximum capacity of Space #9b is nineteen (19) children. In Space #11, twenty-two (22) children were present. Per enhanced space requirements, the maximum capacity of Space #11 is eighteen (18) children.”

Rule For each child, there was not at least 30 sq. ft. inside space per the total licensed capacity and 100 sq. ft. outside space for each child using the outdoor learning environment at any one time.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 14, 2026. Correction verified: at a follow-up visit by DCDEE.

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.

“In Space #2, two (2) bottles of formula were dated May 4, 2026, and one (1) bottle of human milk was dated May 4, 2026. In Space #3, four (4) bottles of human milk were labeled April 6, 2026.”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 20, 2026. Correction verified: by a letter from the provider.

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.

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: May 20, 2026. Correction verified: by a letter from the provider.

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

“In Space #3, the permission to administer medication form for one (1) tube of Calmostepine Ointment did not have the amount of the medication to be administered listed and the permission to administer medication form expired on October 1, 2025. In Space #14, there was no permission to administer medication form for one (1) tube of Parent’s Choice Diaper Rash Ointment Maximum Strength.”

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 20, 2026. Correction verified: by a letter from the provider.

The health assessment did not include a dental screening.

“The dental exam on file for one (1) child, enrolled in the NC Pre-Kindergarten Program on August 11, 2025, was not dated. The dental exam on file for one (1) child, enrolled in the NC Pre-Kindergarten Program on August 13, 2025, was not dated.”

Rule The health assessment did not include a dental screening.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 20, 2026. Correction verified: by a letter from the provider.

Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations.

“The registration for Bus #28 expired on April 30, 2026, and the registration for Bus #18 expired on May 31, 2025.”

Rule Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 20, 2026. Correction verified: by a letter from the provider.

School-aged children were not adequately supervised.

“A staff member was not aware of two children’s activities when they engaged in inappropriate behavior.”

Rule School-aged children were not adequately supervised.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 20, 2026. Correction verified: by a letter from the provider.

Incident logs were not completed and maintained as required.

“An incident report dated December 15, 2025 was not documented on to the incident report log.”

Rule Incident logs were not completed and maintained as required.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 8, 2026. Correction verified: by a letter from the provider.

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 form dated December 15, 2025 did not list facility identifying information; time of the incident; witness to the incident; time the parent is notified of the incident and by whom; piece of equipment involved, if applicable; where the child received medical treatment, if applicable; a signature of the person completing the report; and a signature by the parent.”

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: Jan 8, 2026. Correction verified: by a letter from the provider.

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

“The activity plans posted in Space #2, Space #3, Space #5, and Space #7 were all dated August 11-August 15, 2025.”

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

“In Space #15, one (1) bottle of PineGlo Watermelon Scented All Purpose Cleaner and Disinfectant, with multiple warnings, was in an unlocked cabinet under the counter holding the fish tank, accessible to children.”

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.

Children’s records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child.

“One (1) child, enrolled on March 10, 2025, did not have a medical exam on file.”

Rule Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 28, 2025. Correction verified: by a letter from the provider.

Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review.

“In Space #2, one (1) child was not signed out on August 1, 2025. In Space #9a, one (1) child was not signed out on August 8, 2025. In Space #15, two (2) children were not signed out on August 12, 2025, one (1) child was not signed out on August 13, 2025, and one (1) child was not signed out on August 15, 2025.”

Rule Daily records of arrival and departure times for children 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 28, 2025. Correction verified: by a letter from the provider.

Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission.

“The immunization record on file for one (1) child, enrolled on January 27, 2023, was dated February 12, 2024. One (1) child, enrolled on August 19, 2024, did not have an immunization record on file. One (1) child, enrolled on March 10, 2025, did not have an immunization record on file.”

Rule Each child was not immunized as per Article 6 of Chapter 130A and an immunization 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: Aug 28, 2025. Correction verified: by a letter from the provider.

Emergency medical care information was not on file in the center on the child’s first day of attendance and/or was not updated as changes occurred or at least annually for each child.

Rule Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 28, 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.

“In Space #2, two (2) bottles, both containing formula, were labeled August 18, 2025.”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 28, 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.

“The medical exam on file for one (1) child, enrolled on November 27, 2023, was dated January 15, 2024.”

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: Aug 28, 2025. Correction verified: by a letter from the provider.

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.

“In Space #15, one (1) bottle of Bic Cover It Correction Fluid, with multiple warnings, was in the unlocked drawer to the right of the food prep sink.”

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 CPR certification for one (1) staff member, employed on April 7, 2024, expired on February 6, 2025.”

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: Mar 1, 2025. 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. The First Aid certification for one (1) staff member, employed on April 7, 2024, expired on February 6, 2025.”

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

Equipment and furnishings were not sturdy, stable and free of hazards.

“On Playground #3, there was a metal spike with sharp edges protruding from the ground inside the playground near the fence. On the covered area, used for outdoor play, there was a strip of metal with sharp, jagged edges, and two (2) nails protruding from the side of the wood on the side of the base of the area closest to the building.”

Rule Equipment and furnishings were not sturdy, stable and free of hazards.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 1, 2025. Correction verified: by a letter from the provider.

Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container.

“In Space #7, one (1) container of Vaseline Cocoa Butter Petroleum Jelly was in an unlocked drawer, three (3) feet from the floor, on a shelf to the right of the door to the playgrounds.”

Rule Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container.. 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, the room for children 0-12 months of age, four (4) plastic grocery bags were in an unlocked cabinet under the food prep sink.”

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.

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.

“In space #7, two bottles of liquid essential oils were stored in the unlocked top drawer of the plastic container used to store the teachers personal effects. Air fresheners were observed hanging on the wall in the bathroom used by boys and girls enrolled in space #9a, 9b, and 9c.”

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.

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.

“The departure time for four children was not maintained on August 28, 2024, in space #2. The arrival time for five infants was not maintained on August 29, 2024. The arrival time for two children, two years of age was not maintained on August 29, 2024, in space #12.The arrival time for one toddler was maintained on August 29, 2024, in space #15.”

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: Sep 10, 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.

“The child’s photograph was not included on the emergency contact information for children that were transported. Staff that drove the bus did not have their emergency contact information in the file that was transferred from the facility to the bus when children were transported.”

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: Sep 10, 2024. Correction verified: by a letter from the provider.

Emergency medical care information was not on file in the center on the child’s first day of attendance and/or was not updated as changes occurred or at least annually for each child.

“One child with an enrollment date of May 9, 2022, had their emergency medical care information updated on April 19, 2022. One child with an enrollment date of August 28, 2019, had their emergency medical care information updated on August 28, 2019.”

Rule Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 10, 2024. Correction verified: by a letter from the provider.

Incident logs were not completed and maintained as required.

“Incident reports that have been completed and logged from December 27, 2023, through August 18, 2024, were not available for review.”

Rule Incident logs were not completed and maintained as required.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 10, 2024. Correction verified: by a letter from the provider.

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.

“Seventy-seven (77) incident reports were observed in a file folder. The dates of the incident reports varied from October 2, 2017, until the most recent report in the file was dated December 26, 2023.”

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: Sep 10, 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.

“In space #15, one tube of prescription Nystatin Ointment was not returned to the parent or discarded. The tube of Nystatin was stored in the locked cabinet under the diaper changing table and the signed authorization on file to administer the medication expired on August 6, 2024.”

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: Sep 10, 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 #12, one container of small “googly” eyes, and a plastic bag containing foam paint stampers, were stored in an unlocked lower drawer to the right of the sink and accessible to twelve children, two 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.

Refrigerator(s) did not maintain a temperature of 45 degrees F. or below.

“The refrigerator in space #10, used to store prepared bottles for infants and toddlers, did not contain a thermometer to verify that the temperature was maintained at 45 degrees F. or less.”

Rule Refrigerator(s) did not maintain a temperature of 45 degrees F. or below.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 10, 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.

“The type of emergency drill, (shelter-in-place or lockdown) that was conducted on June 14, 2024, was not documented on emergency drill log posted in the lobby.”

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: Sep 10, 2024. Correction verified: by a letter from the provider.

Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations.

“The vinyl upholstery on the back of the second seat on the driver’s side of bus #12, was ripped and the foam material was exposed.”

Rule Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 10, 2024. Correction verified: by a letter from the provider.

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.

Center staff did not comply with the safe sleep policy.

Rule Center staff did not comply with the safe sleep policy.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 26, 2024. Correction verified: by a letter from the provider.

Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months.

“One (1) teacher employed on May 29, 2024, had a medical assessment dated June 3, 2024.”

Rule Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 26, 2024. Correction verified: by a letter from the provider.

Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas.

“The Documentation of Staff Orientation documented one (1) staff with an employment date of May 29, 2024, received five (5) hours of orientation within the first two weeks of employment.”

Rule Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 26, 2024. 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 refrigerator in space #3, storing three (3) red sippy cups containing whole milk were not labeled with the child’s name or dated. The refrigerator in space #10, storing four (4) bottles of prepared formula were not dated and one (1) bottle was dated June 7, 2024.”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 26, 2024. Correction verified: by a letter from the provider.

Incident logs were not completed and maintained as required.

Rule Incident logs were not completed and maintained as required.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 26, 2024. Correction verified: by a letter from the provider.

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.

“Incident reports with the following dates were completed but they were not signed or dated by the parent: March 21, 2024, April 5, 2024, April 25, 2024, May 2, 2024, and May 9, 2025.Two (2) incident reports dated April 25, 2024, and May 9, 2024, did not document the steps to prevent reoccurrence.”

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: Jun 26, 2024. Correction verified: by a letter from the provider.

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

“One (1) staff with a hire date of April 30, 2024, the orientation documentation noted the staff received five (5) hours of orientation.”

Rule New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 26, 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.

“In space #1, one (1) written feeding plan for one (1) infant, three (3) months of age was not signed by the parent and it was dated April 16, 2024. In space #10, one (1) written feeding plan for one (1) infant, ten (10) months of age was not signed by the parent and it was not dated when the facility received the plan.”

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: Jun 26, 2024. Correction verified: by a letter from the provider.

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

“An activity plan was not posted in space #1. In space #5, the activity plan was dated February 19, 2024 through February 23, 2024.”

Rule A current activity plan was not posted for each group of children for reference.. Corrected during the inspection.

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

“(omit posting for centers located in a residence) The written feeding plan for one infant, seven weeks old, was not posted in space #1.”

Rule An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted.. Corrected during the inspection.

Center staff did not comply with the safe sleep policy.

Rule Center staff did not comply with the safe sleep policy.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 8, 2024. Correction verified: by a letter from the provider.

Each child did not have an opportunity to be outdoors daily, if weather conditions permitted.

“Per the assistant administrator’s report, infants in space #1, 2, and 3 have not been going outside daily.”

Rule Each child did not have an opportunity to be outdoors daily, if weather conditions permitted.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 8, 2024. Correction verified: by a letter from the provider.

Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served.

“The posted menu listed diced ham/turkey, fresh broccoli, pears, pasta with cheese and milk for lunch on Tuesday. Children in space #10 were observed eating ravioli, green beans, pears, and milk for lunch. Children in space #12 were observed eating cheese pizza, green beans, pears, and milk for lunch.”

Rule Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 8, 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.

“One child with an enrollment date of July 17, 2023, had a medical assessment on file dated January 30, 2024. One child with enrollment date of December 13, 2023, had a medical assessment on file dated January 16, 2024.”

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

Menus for all meals and snacks were not planned at least 1 week ahead and dated.

“The menu posted at the entrance and near the kitchen were not dated.”

Rule Menus for all meals and snacks were not planned at least 1 week ahead and dated.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 8, 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.

“Plastic bags were stored in the bottom unlocked cabinet to the left of the refrigerator in space #1 and accessible to two infants. In space #10, seven plastic packages of baby wipes and one plastic package containing diapers were stored under the unlocked diaper changing table and accessible to six children, one year of age and two children, two 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 temperature in a room where infants aged 12 months or younger where sleeping exceeded 75 degrees.

“The thermometer in space #1 was inoperable and was not able to monitor the temperature of the room when infants were sleeping.”

Rule The temperature in a room where infants aged 12 months or younger where sleeping exceeded 75 degrees.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 8, 2024. Correction verified: by a letter from the provider.