Nessa’s Young’uns Natural Play Center II

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. The child care operator has not notified the Division of nine (9) staff member that were hired at Nessa’s Young’uns Natural Play Center II.”

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: Aug 24, 2026. 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.

“Space 6, one (1) diaper cream on-site without a permission to administer medication form.”

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 24, 2026. Correction verified: by a letter from the provider.

All equipment and furnishings were not in good repair.

“Outdoors, metal pans anchored to the fence were rusting.”

Rule All equipment and furnishings were not in good repair.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 24, 2026. Correction verified: by a letter from the provider.

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 1/7/2026 immunization record was not on file before or within 30 days after admission. The immunization record on file was dated 4/9/2026.”

Rule 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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 24, 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.

“Two (2) staff members did not complete, within the first two weeks of employment, six clock hours of training in required topic areas.”

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 24, 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.

“Space 4, one (1) diaper cream medication box sitting on the counter below five (5) feet was not locked.”

Rule Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container.. Corrected during the inspection.

Parent’s medication authorization did not include required information.

“Space 2, one (1) permission to administer medication form that did not have the specific medication name listed.”

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

Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review.

“June 3rd, 4th, 5th, 15th, 18th, 19th, one to three children were not signed out.”

Rule Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 29, 2026. Correction verified: by a letter from the provider.

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

“Space #5, I observed the activity plan posted was dated 8/18-8/29.”

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

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) emergency medication permission to administer medication not signed by the parents.”

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: Sep 15, 2025. Correction verified: by a letter from the provider.

A valid qualification letter was not on file and available to review at the facility.

“Staff member A. Haefelia was on-site without a valid qualifying criminal background check on file for review.”

Rule A valid qualification letter was not on file and available to review at the facility.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 15, 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 7/15/2022, First Aid certification was not renewed prior to the expiration date. The certification on file expired 5/2024”

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: Sep 15, 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 7/15/2022, First Aid certification was not renewed prior to the expiration date. The certification on file expired 5/2024.”

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 15, 2025. 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.

“First two weeks of orientation was not completed for staff member AD hired 6/13/2025. The Documentation of Orientation on file documented three (3) hours instead of the required six (6) hours.”

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: Sep 15, 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.

“Space #2, one (1) emergency mediation permission to administer medication form expired 4/13/2025.”

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: Sep 15, 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.

“Space #3, one (1) medicated ChapStick was located on the shelf in the restroom area unlocked.”

Rule Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container.. Corrected during the inspection.

Parent’s medication authorization did not include required information.

“Space #6, one diaper cream permission to administer medication form was missing the authorized dates to administer the medication.”

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: Sep 15, 2025. Correction verified: by a letter from the provider.

Prior to employment a Criminal Background Check was not completed.

“Staff member A. Haefelia was on-site without completing a criminal background check prior to employment.”

Rule Prior to employment a Criminal Background Check was not completed.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 15, 2025. 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.

“Staff member hired on 7/15/2022 on-going hours were due to be completed by 7/15/2025. The staff member completed 2.5 hours as the staff member thought she was going to terminate employment prior to July.”

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: Sep 15, 2025. Correction verified: by a letter from the provider.

The professional development plan was not reviewed annually.

“Staff member hired 7/15/2022, professional development plans was not reviewed annually. The last professional development plan review was dated 8/11/2023.”

Rule The professional development plan was not reviewed annually.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 15, 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 #2, one (1) sunscreen on site with no permission to administer medication form.”

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 24, 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.

“Staff member CC one (1) health and safety training was not completed within five (5) years of the previously completed training. The training was completed on 6/19/2019 and was due to be completed by 6/19/2024.”

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: Mar 24, 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 #2, one (1) diaper cream permission to administer medication form expired 11/28/2024 and one (1) bug spray permission to administer medication form expired 8/21/2024. One sunscreen expired 10/2024 and one (1) Aquaphor expired 1/2025.”

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 24, 2025. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“In space #6, one (1) prescription medication was missing the child’s name, medication name, expiration date, and the date to stop administering the medication.”

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: Mar 24, 2025. 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 #6, two (2) infant feeding plans were not signed by the parents and dated when the center received the plan.”

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 24, 2025. Correction verified: by a letter from the provider.

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

“One (1) staff member health questionnaire on file was dated 8/27/2022 and was not updated.”

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

Children’s records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child.

“Child enrolled on 8/12/2024 did not have a medical report on file for review.”

Rule Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 20, 2024. 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.

“Two (2) staff members Documentation of Orientation training topic Prevention and Control of infectious disease, including immunizations was blank on the documentation form.”

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

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 space # 1, two (2) electrical outlets were uncovered above the children’s hand washing sink.”

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.

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 #6, four (4) sippy cups were observed labeled with the child’s name but was not dated in the refrigerator.”

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.. Corrected during the inspection.

Medical exam or health assessment record was not on file before or within 30 days after admission.

“Child enrolled on 7/29/2024 medical report was not submitted within thirty (30) days of enrollment. The medical report on file was dated 8/30/2024”

Rule Medical exam or health assessment record was not on file before or within 30 days after admission.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 20, 2024. 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 on 7/29/2024 immunizations was not submitted within thirty (30) days of enrollment.”

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: Sep 20, 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 #6, child RB buttpaste expired 3/2020. The administrator removed the paste 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.

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.

“Child EB Auvi-Q was not in it’s original container with the pharmacy label. The administrator contacted the parent via text message to request the original container with the pharmacy label.”

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: Apr 5, 2024. Correction verified: by a letter from the provider.

Substitutes and volunteers counted in ratio were not informed of the center’s EPR Plan and its location.

“Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. Substitute staff member JH 11/14/23 documentation of the notice of the EPR plan and it’s location was not on file for review.”

Rule Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 5, 2024. Correction verified: by a letter from the provider.

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

“Substitute staff member JH 11/14/23 documentation of review of the EMC plan was not on file 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: Apr 5, 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.

“Substitute staff member JH 11/14/23 Prevention of Shaken Baby Syndrome and Abusive Head Trauma was not reviewed with the staff prior to caring for children and a signed acknowledgement was not on file for review.”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 5, 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 #6 child DM feeding plan did not contain the parents signature.”

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: Apr 5, 2024. Correction verified: by a letter from the provider.