Afs Childcare II

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.

“An outdoor storage building that contained hazard items was not locked.”

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.

All medicines, including refrigerated and unrefrigerated, were not kept in locked storage.

“Multivitamins and one prescription bottle were observed on the kitchen table. The provider corrected this during the visit.”

Rule All medicines, including refrigerated and unrefrigerated, were not kept in locked storage.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 25, 2026. Correction verified: by a letter from the provider.

Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year.

“Monthly fire drills, quarterly lockdown or shelter-in-place drills and playground inspections were not available for review.”

Rule Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 25, 2026. Correction verified: by a letter from the provider.

Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator’s own preschool children.

“The most recent dated sign in sheets were dated 11/22/2026.”

Rule Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 25, 2026. 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.

“One child who was present during today’s visit had an inhaler at the Family Child Care Home. There was no authorization for the operator to administer the medication.”

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: Feb 25, 2026. Correction verified: by a letter from the provider.

Developmentally appropriate activities for the ages of children in care, were not provided as planned on the written schedule and activity plan.

“The activity plan posted was not dated as current.”

Rule Developmentally appropriate activities for the ages of children in care, were not provided as planned on the written schedule and activity plan.. Corrected during the inspection.

Rule violated (DCDEE’s description below)

“Nutritious meals and snacks served did not meet Meal Patterns for Children in Child Care Programs, apple juice was being served instead of milk and the menu did not reflect what the children were eating.”

Rule Rule violated (DCDEE’s description below). Corrected during the inspection.

Operator did not develop and adopt a written plan of care for completing routine tasks to ensure routine tasks did not interfere with the care of children during hours of operation.

Rule Operator did not develop and adopt a written plan of care for completing routine tasks to ensure routine tasks did not interfere with the care of children during hours of operation.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 13, 2025. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

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

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: Jan 13, 2025. Correction verified: by a letter from the provider.