Smiles R’ Us Child Care

Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users.

“In space number three there were five (5) cribs in use. In each of the cribs the sheets did not fit snuggly, the sheets were bunching up in the middle of the bed.”

Rule Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 4, 2026. Correction verified: by a letter from the provider.

The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment.

“J. Harvey began employment on April 16, 2026, and did not have documentation of completing the Suspicions of Child Maltreatment training by July 16, 2026.”

Rule The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 4, 2026. Correction verified: by a letter from the provider.

Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child’s developmental needs.

Rule Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 3, 2026. Correction verified: by a letter from the provider.

A drug or medicine was administered after its expiration date.

“In room number two (#2) there was a tube of Desitin Diaper cream that expired in July 2024.”

Rule A drug or medicine was administered after its expiration date.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 23, 2024. Correction verified: by a letter from the provider.

The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person’s file.

“B. Hewlin’s first day of employment was April 24, 2024. Ms. Hewlin had signed documentation of the Shaken Baby Head Trauma policy on file; however, it was dated April 25, 2024.”

Rule The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file.. Corrected during the inspection.

A child’s hands were not washed after each diaper change.

“A child hands were not washed after diaper changing in Space #3.”

Rule A child's hands were not washed after each diaper change.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 20, 2024. Correction verified: by a letter from the provider.

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

“The center of the wooden art easel was detached exposing staples with sharp points on the preschool playground.”

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: May 20, 2024. Correction verified: by a letter from the provider.