The Growing Years

A safe indoor and outdoor environment was not provided for the children.

“The wooden boarders were split near the area where the cement was exposed the bottom of the fence on the four year old children’s playground. There were two metal water drains retainers that were bent and a metal plates with a nail exposed. These items have sharp edges which are safety concerns.”

Rule A safe indoor and outdoor environment was not provided for the children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 23, 2026. Correction verified: by a letter from the provider.

All stationary equipment, more than 18 inches high, was not installed over protective surfacing.

“The mulch was measured less than 3 inches in a few areas on the playgrounds.”

Rule All stationary equipment, more than 18 inches high, was not installed over protective surfacing.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 17, 2026. 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Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.

“There was an asthma inhaler that was not returned to one parent after the medication had expire on 9-2-26.”

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Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization..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 17, 2026. Correction verified: at a follow-up visit by DCDEE.

A safe indoor and outdoor environment was not provided for the children.

“The wooden boarders around the edge of the mulch were split. There were several roots that were not painted to alert the children of caution to eliminate a tripping hazard and a stump with sharp edges which is a safety concern. Also there was a broken container.”

Rule A safe indoor and outdoor environment was not provided for the children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 21, 2025. Correction verified: by a letter from the provider.

All equipment and furnishings were not in good repair.

“On the playground for two and three year children two metal car structure bench the paint is peeling.”

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: Oct 21, 2025. Correction verified: by a letter from the provider.

All stationary equipment, more than 18 inches high, was not installed over protective surfacing.

“The mulch on the front playground did not meet the required depth. The mulch was less than one inch at the bottom of the slide.”

Rule All stationary equipment, more than 18 inches high, was not installed over protective surfacing.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 21, 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.

“There was so diaper cream that was not return to on parent after the authorization to administer the diaper cream had expired.”

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: Oct 21, 2025. Correction verified: by a letter from the provider.

A safe indoor and outdoor environment was not provided for the children.

“On the playground for two-year-olds, the concrete securing the post for the canopy was visible. The base of the concrete steps had jagged and sharp edges.”

Rule A safe indoor and outdoor environment was not provided for the children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 17, 2025. Correction verified: by a letter from the provider.

All equipment and furnishings were not in good repair.

“On the playground for three years old and up, on the red car structure bench the paint is peeling and the wood is in poor condition . The paint is peeling on the blue play structure.”

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: Nov 7, 2024. Correction verified: by a letter from the provider.

All stationary equipment, more than 18 inches high, was not installed over protective surfacing.

“The mulch on the three years old and up playground did not meet the required depth of surfacing around the brown and green climbing structure.”

Rule All stationary equipment, more than 18 inches high, was not installed over protective surfacing.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 7, 2024. Correction verified: by a letter from the provider.

Electric fans were not mounted out of reach or did not have a mesh guard to prevent access.

“In the four year old classroom, an electric box fan was on the dramatic play kitchen set in the reach of children.”

Rule Electric fans were not mounted out of reach or did not have a mesh guard to prevent access.. Corrected during the inspection.

Rule violated (DCDEE’s description below)

“The temperature in a room where infants aged 12 months or younger were sleeping exceeded 75 degrees. The temperature in infant 1 was 77 degrees. One infant was asleep.”

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

Center did not maintain a record of daily attendance.

“A staff member failed to accurately document the attendance of ten four-year-old children on 6/17/2024.”

Rule Center did not maintain a record of daily attendance.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 3, 2024. 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. K. Wilkens CPR certification expired January 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: May 15, 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. K. Wilkens First Aid certification expired in January 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: May 15, 2024. Correction verified: by a letter from the provider.

Center staff did not comply with the safe sleep policy.

“According to your safe sleep policy, children will be place on their backs to sleep. There were 3 infants sleeping on their tummies. There was no signage that the infant could rollover.”

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: May 15, 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.

“A. Quick did not have a medical report completed on the state form.”

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: May 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.

“There was an uncovered outlet in Space 9. It was covered before I left the space.”

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.

“There was a diaper cream (Aquaphor) that did not have a permission to administer form. The cream was removed from the space.”

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.

The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests.

“In the outdoor space used by the older infants, the grass inside the fenced area was overgrown and wild plants were growing. There were also some rusted areas and paint chipping on the caterpillar shaped equipment and the red vehicle that was in the ground.”

Rule The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 15, 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.

“The maintenance staff was replacing floor tiles in a classroom with the children present. The materials being used were toxic.”

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 stationary equipment, more than 18 inches high, was not installed over protective surfacing.

“The mulch did not meet the required depth in the fall zones of the car structure and at the base of the silver slide on the large playground at the far end of the building.”

Rule All stationary equipment, more than 18 inches high, was not installed over protective surfacing.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 8, 2023. 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 new staff did not have a medical report on file.”

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: Dec 12, 2023. 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.

“Two expired medications were not returned to the children’s parents.”

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 12, 2023. Correction verified: by a letter from the provider.

On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months.

“One new staff did not have a current TB test or TB screening on file.”

Rule On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening 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: Dec 12, 2023. Correction verified: by a letter from the provider.

Outdoor play equipment was not age and developmentally appropriate.

“Playground equipment on a playground previously used for older preschool children had not been removed when the outdoor space was changed to being used by children that are one and two years old.”

Rule Outdoor play equipment was not age and developmentally appropriate.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 5, 2023. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“The parent’s medication authorization was not current for five children’s medications.”

Rule Parent's medication authorization did not include required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 12, 2023. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“The temperature in a room where infants aged 12 months or younger were sleeping exceeded 75 degrees. A thermometer was not available in a classroom for infants to determine the temperature of the room.”

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: Dec 5, 2023. Correction verified: by a letter from the provider.