Busy B’s Child Care

Medication remaining after the course of treatment is completed, after authorization is withdrawn.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. Medication remaining after the course of treatment was not retrieved by the parent or discarded within 72 hours of completion of treatment.”

Rule Medication remaining after the course of treatment is completed, after authorization is withdrawn.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.. Corrected during the inspection.

Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training.

“The operator’s ITS-SIDS expired 9/7/26.”

Rule Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 19, 2026. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“Authorization to administer a single weight-appropriate dose of acetaminophen did not contain the required information. Authorization to administer medication was not on file for a medication that was not labeled in the medication box.”

Rule Rule violated (DCDEE’s description below). Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 19, 2026. Correction verified: by a letter from the provider.

Signed statement did not include the date the operator’s safe sleep policy was given and explained to the parent/guardian.

“A safe sleep policy was not given and explained to the parent/guardian prior or before the first day.”

Rule Signed statement did not include the date the operator's safe sleep policy was given and explained 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: Oct 19, 2026. Correction verified: by a letter from the provider.

All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch.

“Some of the outdoor area was not free of items which are potentially hazardous to children.”

Rule All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch.. 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. Medication that expired in March of 2025 was not returned to the parent or discarded.”

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: Nov 19, 2025. Correction verified: by a letter from the provider.

Summary of the NC Child Care Law was not given to each child’s parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file.

“K. Durham’s file did not have a signed statement on file by the parent or guardian.”

Rule Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement 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: Nov 19, 2025. Correction verified: by a letter from the provider.

The written plan of care was not given and explained to parents of children in care on or before the first day the child attended the home.

“Parents did not sign a statement acknowledging the receipt and explanation of the plan. Parents did not give written permission for their child to be transported by the operator for specific routine tasks that are included on the written schedule. D. Blue’s file did not have a signed statement acknowledging the receipt and explanation of the plan on file.”

Rule The written plan of care was not given and explained to parents of children in care on or before the first day the child attended the home.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 19, 2025. Correction verified: by a letter from the provider.

For each child being transported, the operator or other transportation provider did not have identifying information, including the child’s name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a )(3) in the vehicle whenever children were transported.

“Each child being transported did not have a photograph.”

Rule For each child being transported, the operator or other transportation provider did not have identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a )(3) in the vehicle whenever children were transported.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 28, 2025. Correction verified: by a letter from the provider.

Screen time was not prohibited for children under the age of three.

“The operator did not offer alternative activities for children under the age of three years. Screen time was offered to children under the age of three years old.”

Rule Screen time was not prohibited for children under the age of three.. Corrected during the inspection.

Summary of the NC Child Care Law was not given to each child’s parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file.

“One child’s file did not have a signed statement of the summary of laws.”

Rule Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement 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: Dec 6, 2024. Correction verified: by a letter from the provider.

When medication is administered, authorization for the operator to administer the specific medication according to the parent’s or health care professional’s instructions was not on file and available.

“The instructions were not on file for one child or signed by the parent.”

Rule When medication is administered, authorization for the operator to administer the specific medication according to the parent's or health care professional's instructions was not on file and available.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 6, 2024. Correction verified: by a letter from the provider.

Copy of each child’s health assessment, including the operator’s own preschool child(ren), was not on file within 30 days of enrollment.

“This was past 30 days from enrollment for two children currently enrolled in care.”

Rule Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 29, 2024. 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.

“This was past 30 days from enrollment for two children currently enrolled in care.”

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: Jan 29, 2024. Correction verified: by a letter from the provider.

Written feeding schedule was not on file for each child under 15 months of age and/or was not updated regularly to reflect changes in the child’s needs.

“This was not on file for review for on child under fifteen months.”

Rule Written feeding schedule was not on file for each child under 15 months of age and/or was not updated regularly to reflect changes in the child's needs.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 29, 2024. Correction verified: by a letter from the provider.