Nessa’s Young’uns Natural Play Center

Children were not adequately supervised at all times.

“On 9/11/2026, at 11:30a, a child was left outside on the fenced in playground for five (5) minutes when coming inside to wash hands for lunch.”

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: Sep 22, 2026. Correction verified: at a follow-up visit by DCDEE.

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 the infant classroom, one (1) bottle of liquid white out unlocked in a cabinet above five feet.”

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 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. Staff member hired 6/1/2026, Basic Life Support (BLS) course through American Heart Association was on file and valid till 6/30/2028. However, the BLS training successfully completed was the cognitive and skills evaluation in accordance with the curriculum of American Hear Association Basic Life Support (CPR and AED) Resuscitation Quality Improvement Program. This course BLS - meets CPR requirements”

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: Sep 21, 2026. 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.

“In the three- to four-year-old classroom, the closet door was opened to allow additional lighting. Inside the closet, three (3) uncovered electrical outlets.”

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.

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

“One tarp on the toddler playground showed signs of wear and tear. The tarp was fraying and had two (2) wholes in the material.”

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: Aug 17, 2026. Correction verified: by a letter from the provider.

All electrical appliances were not used in accordance with the manufacturers instruction.

“Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. Space 2, one (1) hot glue gun in a drawer below five feet. Space 4, one (1) laminator was observed sitting on the counter below five (5) feet.”

Rule All electrical appliances were not used in accordance with the manufacturers instruction.. Corrected during the inspection.

All staff did not review the center’s EPR Plan during orientation and/or on an annual basis with the trained staff.

“Documentation of the review was not maintained on file. One (1) staff member hired 6/1/2026 EPR plan review was not documented and on file for review”

Rule All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 17, 2026. Correction verified: by a letter from the provider.

Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas.

“One (1) staff member hired 6/1/2026 did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Documentation of orientation was not completed.”

Rule Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 17, 2026. Correction verified: by a letter from the provider.

Emergency medical care information was not on file in the center on the child’s first day of attendance and/or was not updated as changes occurred or at least annually for each child.

“One (1) child enrolled 7/7/2025 emergency information was not updated annually. The most current update was 8/3/2026 and the previous review/update was completed on 7/17/2025. One (1) child enrolled 3/14/2022 emergency information was not updated annually or when changes occurred. The last date on file was 8/4/2025.”

Rule Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 17, 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.

“One (1) emergency medication permission to administer medication form expired 6/30/2026.”

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 17, 2026. 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 (1) staff member hired 6/1/2026 did not receive at least 16 hours of orientation within first 6 weeks. Documentation of orientation was not completed, and emergency medical care plan and EPR plan review was not documented for review.”

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: Aug 17, 2026. Correction verified: by a letter from the provider.

The EMC plan was not reviewed with all staff annually and whenever the plan was revised.

“One (1) staff member hired 6/1/2026 EMC plan review was not documented for review.”

Rule The EMC plan was not reviewed with all staff annually and whenever the plan was revised.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 17, 2026. Correction verified: by a letter from the provider.

A violation was found for which there is no item number.

“Per report and observations, the outdoor area was not drained to minimize standing water.”

Rule A violation was found for which there is no item number.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 23, 2026. Correction verified: by a letter from the provider.

All equipment and furnishings were not in good repair.

“Outdoors one (1) broken wading pool with dirt and large rocks on the infant/toddler playground showing signs of wear and tear with several holes around the sides and a crack on the side of the wading pool.”

Rule All equipment and furnishings were not in good repair.. Corrected during the inspection.

Aquatic activities were permitted in hot tubs, spas, saunas or steam rooms, portable wading pools, natural bodies of water, or other unfiltered non disinfected containments of water.

“Per report and interviews, an incident occurred on 6/30/26 where two- to three-year-old children were engaged in unfiltered muddy water play.”

Rule Aquatic activities were permitted in hot tubs, spas, saunas or steam rooms, portable wading pools, natural bodies of water, or other unfiltered non disinfected containments of water.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 23, 2026. Correction verified: by a letter from the provider.

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

“Space 3, one (1) child asleep on their cot with their blanket covering their head”

Rule A safe indoor and outdoor environment was not provided for the children.. Corrected during the inspection.

Center did not maintain a record of daily attendance.

“Space 3, the daily attendance was not completed for today (3/17/2026).”

Rule Center did not maintain a record of daily attendance.. Corrected during the inspection.

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

“Space 2, one (1) feeding plan that was not signed and dated by the parent or staff.”

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

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

“Space #4 the lighting in the back of the classroom was too dark to assess the children’s wellbeing as they were asleep.”

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: Aug 22, 2025. 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.

“Space #4 mop with mop solution was left unattended during nap time. The staff member left the mop beside the bathroom door and walked to the storage closet.”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 22, 2025. Correction verified: by a letter from the provider.

All staff did not review the center’s EPR Plan during orientation and/or on an annual basis with the trained staff.

“Documentation of the review was not maintained on file. Staff member 3/27/2024 annual EPR plan review was conducted late. The last annual review was conducted on 8/9/2024. The staff member completed the EPR review on 8/11/2025.”

Rule All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff.. Corrected during the inspection.

All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement.

“Staff member hired 3/27/2024 health questionnaire was not completed annually. The last health questionnaire on file was dated 8/9/2024.”

Rule All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement.. Corrected during the inspection.

Bed, cribs, playpens, cots or mats were not placed at least 18” apart or separated by partitions when in use.

“Space #3, while monitoring nap time, I observed three (3) cots placed in the dramatic play center less than eighteen (18) inches apart. One (1) cot measured sixteen (16) inches from another cot, and one (1) measured fourteen (14) inches from the other cot.”

Rule Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use.. Corrected during the inspection.

Center did not maintain a record of daily attendance.

“Space 1B daily attendance was not completed for today.”

Rule Center did not maintain a record of daily attendance.. Corrected during the inspection.

Center staff did not comply with the safe sleep policy.

“Space #1A while monitoring at nap time, two (2) infants sleeping sleep last sleep check was completed at 1:15p and at 1:37p the sleep check was not completed.”

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: Aug 22, 2025. Correction verified: by a letter from the provider.

Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually.

“Staff member hired 3/27/2024 emergency information was not completed annually. The last emergency information on file was dated 8/9/2024.”

Rule Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually.. Corrected during the inspection.

Emergency medical care information was not on file in the center on the child’s first day of attendance and/or was not updated as changes occurred or at least annually for each child.

“Child enrolled 6/10/2024 emergency information was not updated annually. The last emergency information on file was dated 6/8/2024.”

Rule Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 22, 2025. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. child enrolled 2/25/2025 immunizations were not submitted within thirty (30) days of enrollment. The immunizations on file were dated 4/18/2025.”

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: Aug 22, 2025. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. staff member hired 6/24/2019 on-going training hours were not completed. The staff member was required 10 hours and documentation on file documented 9 hours of on-going training.”

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: Aug 22, 2025. 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. Staff member hired 11/18/2024 CPR was not completed within the first ninety (90) days of employment.”

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: Mar 4, 2025. 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. Staff member hired 11/18/2024 First Aid was not completed within the first ninety (90) days of employment”

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: Mar 4, 2025. Correction verified: by a letter from the provider.

Formula and other beverages which require refrigeration were not identified for each child or properly refrigerated.

“In space #2, one bottle was observed unlabeled sitting on top of the cubbies not refrigerated.”

Rule Formula and other beverages which require refrigeration were not identified for each child or properly refrigerated.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 11, 2025. Correction verified: by a letter from the provider.

Human milk, formula and other bottled beverages including sippy cups, sent from child’s home were not fully prepared, dated, and labeled for the appropriate child.

“In space #2, one bottle was observed unlabeled sitting on top of the cubbies.”

Rule Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 11, 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.

“In Space # 1B one (1) Aquaphor permission to administer medication form expired on 1/18/2025.”

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: Mar 11, 2025. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“In space #1A, one (1) permission to administer form was missing the dates to administer.”

Rule Parent's medication authorization did not include required information.. Corrected during the inspection.

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. Staff member hired 5/7/2024 did not complete ITS-SIDS training within two (2) months of employment. The training was due to be completed by 7/7/2024. The training was completed on 7/18/2024.”

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: Sep 3, 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.

“Space #4, one (1) electrical outlet on the power strip was observed uncovered”

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.

Rule violated (DCDEE’s description below)

“Center did not maintain a record of daily attendance Space #2, the daily attendance was not completed for today.”

Rule Rule violated (DCDEE’s description below). 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.

“In space #1B child HD Babyganic sunscreen expired 1/2024 and the permission to administer medication form expired 1/1/2024. The administrator removed the medication and discarded it during the visit.”

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.

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

“Staff member JG hired 2/14/2022 had five (5) hours of on-going training hours during the annual compliance visit on 8/29/2023 and was due to complete five (5) hours of on-going training by 2/14/2024. The staff members completed their on-going training hours three (3) days late on 2/17/2024.”

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