The Children’s Courtyard

All staff records, except financial records, were not made available for review.

“During the visit on 11/03/2025, a staff did not have a file available for review by DCDEE staff as required.”

Rule All staff records, except financial records, 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: Nov 7, 2025. Correction verified: by a letter from the provider.

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 ABCMS system roster did not reflect all of the current staff members.”

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: Jun 10, 2025. Correction verified: by a letter from the provider.

Children were not adequately supervised at all times.

“A child was left alone in the classroom bathroom of space #14 for approximately 4 minutes.”

Rule Children were not adequately supervised at all times.. Corrected during the inspection.

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.

“Q.P. hired on January 8, 2024 did not have a medical report on file prior to employment that was signed by a health care professional. It was completed on January 11, 2024.”

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.. Corrected during the inspection.

On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months.

“Q.P. hired on January 8, 2024 did not provide results indicating that they were free of active TB and/or TB test or screening until November 3, 2024.”

Rule On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months.. Corrected during the inspection.

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.

“I.F. hired on May 5, 2024 completed her Recognizing and Responding to Suspicions of Child Maltreatment training on August 18, 2024 and L. M. hired on October 7, 2024 completed her Recognizing and Responding to Suspicions of Child Maltreatment training on January 28, 2025.”

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.. Corrected during the inspection.

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.

“D.R. hired on August 12, 2024 reviewed the The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on August 19, 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.

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. T. Holmes, X. Scott, and S. Ortega did not successfully complete certification in CPR training appropriate to the age of the children in care.”

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: Dec 2, 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. T. Holmes, X. Scott, S. Ortega, M. Colvin, and C. McLean did not successfully complete certification in First Aid appropriate to the age of children in care.”

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: Dec 2, 2024. Correction verified: by a letter from the provider.

Diapers were not changed whenever they were soiled or wet and/or were changed on a shift basis.

“On November 1, 2024, a child’s diaper was not changed when it was wet.”

Rule Diapers were not changed whenever they were soiled or wet and/or were changed on a shift basis.. Corrected during the inspection.

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

“On July 8, 2024,staff members failed to provide a safe environment for an infant when they placed the infant on a pillow on top of outdoor surfacing without first ensuring the surfacing was not too hot. The infant slid off the pillow and on to the surfacing and, as a result, received burns to the arm and back of the head.”

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

Incident logs were not completed and maintained as required.

“An incident that occurred on July 8, 2024, was not recorded on the incident log.”

Rule Incident logs were not completed and maintained as required.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 24, 2024. Correction verified: by a letter from the provider.

Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child’s file.

“On July 8, 2024, a staff member provided false information on an incident report regarding the origin of a child’s injuries.”

Rule Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 9, 2026. Correction verified: at a follow-up visit by DCDEE.

There was a substantiation of child maltreatment.

“Pursuant to its investigation, the Division has confirmed sufficient information to determine child maltreatment.”

Rule There was a substantiation of child maltreatment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 9, 2026. Correction verified: at a follow-up visit by DCDEE.

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. Several staff members had expired CPR training.”

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: May 28, 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. Several staff members had expired First Aid training.”

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: May 28, 2024. Correction verified: by a letter from the provider.

A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information.

“A First Aid information sheet was posted; however, staff members failed to render first aid as described. Specifically, a staff member failed to provide first aid for approximately twenty minutes after an infant received burns on the feet from hot water that was spilled. After the staff member alerted administrators to the incident, a staff member placed a cold compress on the child’s feet rather than using cool running water, as the form states.”

Rule A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all 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 9, 2026. Correction verified: at a follow-up visit by DCDEE.

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

“On April 3, 2024, a staff member created an unsafe environment for children when she placed two containers of hot water in a crib with four infants. The water spilled onto an eleven-month-old child, causing second degree burns on the child’s feet that required medical attention. In addition, the staff member failed to inform anyone of the injury incident for approximately twenty minutes and failed to provide first aid for the child’s injuries.”

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: Apr 29, 2024. Correction verified: by a letter from the provider.

Center staff did not follow the EMC plan.

“On April 3, 2024, a staff member failed to follow the EMC plan when an eleven-month-old child received burns on the feet from hot water.”

Rule Center staff did not follow the EMC plan.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 9, 2026. Correction verified: at a follow-up visit by DCDEE.

Child was handled roughly.

“On March 29, 2024, staff members handled a three-year-old child roughly. Specifically, staff members grabbed the child by the arms in a rough manner, pushed and pulled the child, and walked with the child in front of the staff member while holding the child’s arms in the air, lifting the child by the forearms and the staff member using their leg to move the child in the direction they wanted the child to go.”

Rule Child was handled roughly.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 29, 2024. Correction verified: by a letter from the provider.

Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages.

“On March 29, 2024, staff members failed to ensure that three-year-old children washed their hands prior to sitting down for morning snack.”

Rule Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 29, 2024. Correction verified: by a letter from the provider.

Children were not adequately supervised at all times.

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: Oct 29, 2024. 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.

“On March 29, 2024, staff members failed to treat a three-year-old child in a nurturing and appropriate manner when the child was displaying signs of separation anxiety during drop-off and staff members failed to respond appropriately.”

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: Oct 29, 2024. Correction verified: by a letter from the provider.

Food required by special diet prescribed by health care professional or parent did not have written instructions and/or was not maintained on file at the center.

“Written instructions were provided and on file; however, staff members gave a child food that was listed on the child’s application that they should not eat.”

Rule Food required by special diet prescribed by health care professional or parent did not have written instructions and/or was not maintained on file at the center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 29, 2024. Correction verified: by a letter from the provider.

Individual applications were not on file for each child.

“A random child’s file was pulled for review and an application was not in the file.”

Rule Individual applications were 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: Apr 29, 2024. Correction verified: by a letter from the provider.

There was a substantiation of child maltreatment.

“Pursuant to its investigation, the Division has confirmed sufficient information to determine child maltreatment.”

Rule There was a substantiation of child maltreatment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 9, 2026. Correction verified: at a follow-up visit by DCDEE.

A safe and comfortable bed, crib, or cot, equipped with a firm waterproof mattress at least 4 inches thick was not provided for each child receiving overnight care.

“Spaces#1, #2, & #3 had crib sheets that were not tight fitting.”

Rule A safe and comfortable bed, crib, or cot, equipped with a firm waterproof mattress at least 4 inches thick was not provided for each child receiving overnight care.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 13, 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.

“Space #15 bathroom cleaner and cleaning wipes were not in a locked cabinet and made inaccessible to to children in care. All cleaning supplies were place in a locked cabinet and made inaccessible to children in care.”

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 equipment and furnishings were not in good repair.

“Space #11 children kitchen set had four metal nails sticking out from the side, the kitchen set was removed from the classroom. Playground 1B plastic fencing between poles is broken and accessible to children. The broken plastic fence was removed and discarded from the playground.”

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

All walls and ceilings including doors and windows were not kept clean and in good repair.

“Space #17 ceiling sheet rock has come apart and is not in good repair due to roof leak.”

Rule All walls and ceilings including doors and windows were not kept clean and in good repair.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 13, 2024. Correction verified: by a letter from the provider.

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

“Space #11, children cots were not placed at least 18’ during nap time. Children cots were moved and space 18’ while children napped.”

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.

For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule.

“No books were made available in space #11”

Rule For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 13, 2024. Correction verified: by a letter from the provider.

Lavatories were not kept clean, in good repair and kept free of storage.

“Space #13, a guitar, toy highchair and broom were stored in children lavatory. All items were removed from the lavatory and is free of storage.”

Rule Lavatories were not kept clean, in good repair and kept free of storage.. Corrected during the inspection.

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

“Space #11, one bottle of prescription medication and one bottle of Pepto-Bismol was in a personal bag accessible to children in care. The bag and medication was removed from classroom and locked in staffing personal area.”

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

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.

“Spaces #6, #11 & #12 had plastic bag accessible to children under three years of age. All plastic bags were placed at lease five feet high or put into lock storage and made inaccessible to children.”

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.. Corrected during the inspection.

The center did not follow all procedures to prevent the spread of communicable diseases described in 15A NCAC 18A .2800.

“Space #13 staff coat was touching children cots. Staff coat was removed off the cot and moved to another area.”

Rule The center did not follow all procedures to prevent the spread of communicable diseases described in 15A NCAC 18A .2800.. Corrected during the inspection.

Screen time was offered to children under three years of age.

“Space #2, nine infants were offered music sing along videos while waiting for lunch. The teacher turned the iPad around to make the screen invisible to infants in care.”

Rule Screen time was offered to children under three years of age.. Corrected during the inspection.