Wncsource Flat Rock Children’s Center

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

“Space 2, one (1) tube of Bluey chapstick was located on the bottom shelf to the left of the diaper changer was on-site without written authorization to administer.”

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: Mar 13, 2026. Correction verified: by a letter from the provider.

Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month.

“Space 1B the group of infant children, while reviewing safe sleep checks from the last thirty (30) days, I noted that on 9/4/25 all visual checks were not documented for one (1) child. The child was documented asleep at 11:25a and the next documented check was at 1:05p documenting the child was asleep. Then no additional checks were conducted. Another child visual checks were not documented on 9/15/25. The child was documented asleep at 12:30p and the next documented check was at 1:00p noting the child was asleep.”

Rule Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 17, 2025. Correction verified: by a letter from the provider.

Center staff did not comply with the safe sleep policy.

“In space 1B, staff members did not conduct visual checks at least every fifteen (15) minutes. One (1) child on 10/2/25 was documented asleep at 12:20p and visual check was not conducted till 12:40p. Another child on 10/2/25 was documented asleep at 12:35p and visual check was not conducted till 12:54p. Another child on 10/3/25 was documented asleep at 9:35a and visual check was not conducted till 9:58a.”

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: Oct 17, 2025. Correction verified: by a letter from the provider.

Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.

“The last documented emergency drill was conducted on 6/27/2025. The next drill was due by 9/30/2025.”

Rule Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 17, 2025. Correction verified: by a letter from the provider.

A current activity plan was not posted for each group of children for reference.

“The current activity plan was not posted for the staff to reference. The activity plan posted was dated April 15- 19. The administrator posted the current activity plan during the visit.”

Rule A current activity plan was not posted for each group of children for reference.. Corrected during the inspection.

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 #2, one (1) unlocked cabinet with hazardous products in the cabinet. The key to unlock the cabinet was in the lock. The administrator corrected this during the visit by locking the cabinet and removing the key from the lock.”

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.

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.

“One (1) staff member hired 11/14/2018 health and safety training topics five-year update were completed late. the original completion date was 12/4/2018 and the five year update was 4/11/2024.”

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: Apr 24, 2024. Correction verified: by a letter from the provider.

The center’s safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily.

“In space #1B, the center safe sleep policy was not posted. The administrator corrected this during the visit by posting the center safe sleep policy”

Rule The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily.. Corrected during the inspection.

Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.

“Shelter-in-place or lockdown drill was not practiced and recorded every three (3) months. There was a lapse in drills from 3/20/2023 to 9/29/2023.”

Rule Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 17, 2023. Correction verified: by a letter from the provider.