Tiny Tot Child Development Center

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.

“The emergency information on file for one (1) child, enrolled June 6, 2024, was most recently updated on April 14, 2025. The emergency information on file for one (1) child, enrolled on March 3, 2025, was most recently updated on February 12, 2025.”

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 29, 2026. 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Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.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 #2b, the permission to administer medication form for one (1) tube of Aquaphor Healing Ointment Advanced Therapy expired on January 27, 2026.”

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Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization..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: May 29, 2026. Correction verified: by a letter from the provider.

The depth of the loose surfacing was not based on critical height of the equipment.

“On Playground #2, the depth of the mulch in the fall zone surrounding the swings measured zero to four inches. On Playground #3, the depth of the mulch in the fall zones surrounding the two stationary play structures measured one to five inches. On Playground #4, the depth of the mulch in the fall zone surrounding one stationary play structure measured two to five inches.”

Rule The depth of the loose surfacing was not based on critical height of the equipment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 29, 2026. Correction verified: by a letter from the provider.

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

“On the playground for toddlers, the paint on the blue bench with three steering wheels was peeling and chipping.”

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

“In Space #6b, two (2) Epinephrine Injection USP Auto Injectors expired November 2025.”

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: Dec 11, 2025. Correction verified: by a letter from the provider.

Center staff did not comply with the safe sleep policy.

“On June 23, 2025, a stuffed animal was placed in the crib with an infant, four (4) months of age for approximately thirty (30) minutes.”

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: Jul 14, 2025. 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 #2b, the permission to administer medication form for one (1) bottle of Boogie Diaper Rash Spray expired on July 31, 2024. In Space #5b, one (1) Epinephrine Injection, USP Auto Injector, expired August 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: Jan 20, 2025. Correction verified: by a letter from the provider.

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

“One (1) staff member, employed on October 16, 2023, did not complete the required health and safety trainings.”

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: Jan 20, 2025. Correction verified: by a letter from the provider.

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 February 29, 2024, expired on February 21, 2024.”

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: Jul 2, 2024. 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 February 29, 2024, expired on February 21, 2024.”

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: Jul 2, 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.

“The emergency medical care information on file for one (1) child, enrolled on August 9, 2021, was last updated on July 19, 2022. The emergency medical care information on file for one (1) child, enrolled on October 3, 2022, was last updated on September 22, 2022. The emergency medical care information on file for one (1) child, enrolled on May 30, 2023, was last updated on May 19, 2023.”

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: Jun 28, 2024. Correction verified: by a letter from the provider.

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

“One (1) staff member, employed on October 30, 2014, one (1) staff member, employed on June 8, 1987, one (1) staff member, employed on February 14, 2011, and one (1) staff member, employed on September 4, 2016, did not complete all of the required health and safety trainings every five (5) years.”

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: Jun 28, 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.

“In Space #4a/b, one (1) aerosol can of Scrubbing Bubbles Bathroom Crime Fighter, one (1) can of Febreze Air Heavy Duty, and one (1) aerosol can of Glade Automatic Spray Refill, all with multiple warnings, were in an unlocked cabinet under the right handwashing sink in the restroom used by 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.

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 June 13, 2023, expired on June 15, 2023. The CPR Certification for one (1) staff member, employed on May 17, 2023, expired on July 31, 2023.”

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: Jan 17, 2024. 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 June 13, 2023, expired on June 15, 2023. The First Aid Certification for one (1) staff member, employed on May 17, 2023, expired on July 31, 2023.”

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: Jan 17, 2024. Correction verified: by a letter from the provider.

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.

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.. 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.

“In Space #3a/b, one (1) tube of Aveeno Baby Daily Moisture Lotion expired December 2020.”

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.. Corrected during the inspection.