The Sunshine House

A drug or medication was administered without written authorization and/or instructions from a child’s parent or authorized health professional.

“One child was adminstered medication without authoriration from the child’s parent.”

Rule A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional..

Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month.

“The infant teacher did not have the documentation of the visual checks for one month.”

Rule Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month..

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

“There was a broken container in the two year old classroom and the emergency lights container on the bus was broken. These items had sharp edges which are safety hazards.”

Rule Equipment and furnishings were not sturdy, stable and free of hazards.. Corrected during the inspection.

For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices.

“There was not a sufficient quantity of blocks, and pretend play materials in the infant and sensory materials in the infant and toddler classrooms.”

Rule For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices..

A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking.

“A staff a grab a child and then spanked a child several times.”

Rule A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking.. 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Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.

“There was cetirizine, an inhaler, lotion and diaper cream that was not returned to four parents after the treatment was complete.”

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 2, 2025. Correction verified: by a letter from the provider.

When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information.

“The facility did not document on the log when the medication was administered.”

Rule When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 2, 2025. Correction verified: by a letter from the provider.

A written statement from each child’s parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available.

“A written statement from each three children’s parents for the children to place outside of the fenced area.”

Rule A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 27, 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.

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

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: Dec 27, 2024. Correction verified: by a letter from the provider.

For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices.

“There was not sufficient quantity of materials in two classrooms.”

Rule For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 27, 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.

“Butt paste, A&D ointment and diaper rash creams not returned to three parent after the medication had expired and child was no longer enrolled in the program.”

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 27, 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.

“A medical exam was not on file before or within 30 days after admission for one child.”

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: Dec 27, 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 new staff did not receive at least 16 hrs. orientation within first 6 weeks.”

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: Dec 27, 2024. Correction verified: by a letter from the provider.

When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities.

“There was not a third activity in the book are in two classrooms.”

Rule When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 27, 2024. Correction verified: by a letter from the provider.

Children were not adequately supervised at all times.

“A four-year-old child was left in the classroom asleep while staff took the other children across the hall to the bathroom.”

Rule Children were not adequately supervised at all times.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 30, 2024. Correction verified: at a follow-up visit by DCDEE.

Incident logs were not completed and maintained as required.

“The facility did not complete incident logs and maintained them for several incidents.”

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: Aug 13, 2024. Correction verified: by a letter from the provider.

Children were not adequately supervised at all times.

“A teacher took a classroom outdoors to the playground. When the teacher and children came back inside for a bathroom break, she noticed a child had been left in the classroom. Approximately 7 minutes had lapsed since the classroom went outside leaving the child unattended.”

Rule Children were not adequately supervised at all times.. Corrected during the inspection.

All equipment and furnishings were not in good repair.

“The wooden boards retaining the mulch is rotting and must be removed.”

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: Jan 2, 2024. Correction verified: by a letter from the provider.