Haywood Community College Regional Center for the

A child care operator did not notify the Division of any new child care providers, as defined in G.S.

“110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Two (2) staff members whose employment dates were 1/7/22 and 3/12/24 were not listed on the ABCMS roster.”

Rule A child care operator did not notify the Division of any new child care providers, as defined in G.S.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 30, 2026. Correction verified: by a letter from the provider.

Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served.

“Cut broccoli, French fries, roast beef/cheese sandwiches, and milk were served for lunch while milk, 1/2 moon hams, green beans, mashed potatoes and rolls were listed on the menu.”

Rule Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 22, 2026. 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Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.

“An Albuterol for a child in room 119/122 expired on 4/30/26 but was not sent home.”

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Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization..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: Jul 22, 2026. Correction verified: by a letter from the provider.

Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container.

“Nystatin pharmacy samples were maintained with over-the-counter products in a container on a shelf in room 308.”

Rule Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 22, 2026. Correction verified: by a letter from the provider.

Outdoor play area was not enclosed by fence with a minimum height of 4 feet.

“The top of the fence, less than six feet, was not free from protrusions. The heigh of the fence facing the parking lot on the infant/toddler playground was measured for 43-44 inches.”

Rule Outdoor play area was not enclosed by fence with a minimum height of 4 feet.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 30, 2026. Correction verified: by a letter from the provider.

Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child’s name, and/or written instructions did not include the required information.

“Medication authorization form for Nystatin - pharmacy samples - did not include prescribing physician’s signature and frequency of administration of the medication.”

Rule Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions 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: Jul 24, 2026. Correction verified: by a letter from the provider.

Staff required to receive on-going training had not completed the required number of hours according to their education and experience.

“One (1) staff member completed 9.5 hours of on-going training hours while the required hours was ten (10) hours.”

Rule Staff required to receive on-going training had not completed the required number of hours according to their education and experience.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 24, 2026. Correction verified: by a letter from the provider.

The written feeding plan was not modified as the child’s needs changed.

“Two (2) children’s feeding plans in room 328 were not modified as their feeding needs changed. The two (2) children’s dates of birth were 6/3/25 and 5/15/25.”

Rule The written feeding plan was not modified as the child's needs changed.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 22, 2026. Correction verified: by a letter from the provider.

Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years.

“Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. ITS/SIDS training for a staff member who was hired on 6/18/20 expired on 6/7/25 and had not been renewed.”

Rule Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 14, 2025. Correction verified: by a letter from the provider.

Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics.

“Based on the training certificates and record, a staff member who was employed on 6/19/20 last completed the Health and Safety training on 10/14/19 and had not completed fifth year training yet.”

Rule Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 6, 2025. Correction verified: by a letter from the provider.

Center staff did not comply with the safe sleep policy.

“In space #14, room 207, an infant was asleep in the crib during the visit at 10:45 am. The sleep check chart for the child was not filled out.”

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: Feb 5, 2025. 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.

“O. Cook hired on 1/22/25 and E. Sutton hired on 11/25/24 did not have a choice of health care professional listed on their emergency information forms.”

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: Feb 5, 2025. Correction verified: by a letter from the provider.

Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container.

“Children’s Benadryl in space #5, room 125 was maintained in the backpack. The backpack was stored above five (5) feet but not in a locked storage.”

Rule Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 5, 2025. Correction verified: by a letter from the provider.

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

“In space 10, the permission forms for Equate SPF 50 sunscreens dates for 6/27/24 0 6/27/25 were not signed by the parents for sixteen (16) children. The permission form for Neutrogena Ultra Sheet sunscreen expired on 7/7/24. The permission form for Blue Lizard Australian aerosol sunscreen was not in file. No permission form for Badger Sport sunscreen was not in file. Per teacher interview in space #10, Equate sunscreen was applied to the children without the permission forms.”

Rule A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 8, 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.

“In space #8, one (1) can of Babyganics Mineral sunscreen aerosol spray was stored in the closed, but the closet door was not locked. In space #10, a can of Blue Lizard Australian aerosol sunscreen was stored in a tool box on top of the cabinet without lockable device. In space #14, C, D, 9V and AAA batteries were stored in the cabinet by the entrance door with baby-proofing device.”

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.

During the required fire, lockdown, or shelter-in-place drills, the evacuation crib or other approved device was not used as described in the EPR Plan.

“In space #12, a wooden table was stored in a evacuation crib. During the transition from gross motor room to the classroom, two (2) wagons were used to transport the children. Therefore, the need of the evacuation crib during evacuation is necessary for at least some of the one-year-old children. The use of evacuation crib is noted on the EPR plan. With a wooden table being stored in the evacuation crib, the proper procedure of the EPR plan was not followed.”

Rule During the required fire, lockdown, or shelter-in-place drills, the evacuation crib or other approved device was not used as described in the EPR Plan.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 8, 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.

“In space #12, Aquaphor Healing Ointment expired in April, 2024 but was not returned to the parents or discarded.”

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: Aug 8, 2024. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“In space #6, the permission form for diaper creams expired for four (4) children on 2/25/24, 4/6/24, 6/6/24 and 7/11/24. In space 10, the permission forms for Equate SPF 50 sunscreens dates for 6/27/24 0 6/27/25 were not signed by the parents for sixteen (16) children. The permission form for Neutrogena Ultra Sheet sunscreen expired on 7/7/24. The permission form for Blue Lizard Australian aerosol sunscreen was not in file. No permission form for Badger Sport sunscreen was not in file.”

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: Aug 8, 2024. Correction verified: by a letter from the provider.

Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age.

“In Space #7, fifteen (15) bags of baby wipes were maintained at approximately thirty-six (36) inches high. Plastic cups in the plastic wrappers were stored in the bottom shelf under the refrigerator. There were eleven (11) children, two (2) years of age, were present in space #7. In space #8, two packs of diapers in plastic wrappers and Members Mark premium baby wipes were stored at thirty-six (36) inches high. There were one (1) child, two (2) years of age was present in the classroom.”

Rule Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 8, 2024. Correction verified: by a letter from the provider.

The written feeding plan did not include the child’s name, parent signature, and/or was not dated when received by the center.

“In space #14, a child’s feeding plan was posted but not signed by the parent.”

Rule The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 8, 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. The staff member hired on 9/19/23 did not complete CPR training before 12/18/23.”

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: Feb 14, 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. The staff member hired on 9/19/23 did not complete First Aid training before 12/18/23.”

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: Feb 14, 2024. Correction verified: by a letter from the provider.

Refrigerator(s) did not maintain a temperature of 45 degrees F. or below.

“There was no thermometer in the refrigerator in space 10 (Room 314).”

Rule Refrigerator(s) did not maintain a temperature of 45 degrees F. or below.. Corrected during the inspection.