Celeste Henkel - ISS Staff Childcare

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 facility does not have all current employees listed on the ABCMS portal 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: Sep 15, 2025. Correction verified: by a letter from the provider.

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

“The activity plan posted was dated for 9/2/25 to 9/5/25.”

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

Children between 12 and 24 months of age were grouped with children 3 years of age or older.

“A child one years of age was grouped with children three years of age and older.”

Rule Children between 12 and 24 months of age were grouped with children 3 years of age or older.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 11, 2025. Correction verified: at a follow-up visit by DCDEE.

Children were not adequately supervised at all times.

“A staff member was assisting children with toileting inside the classroom restroom. During this time, children were unable to been seen by the staff member due to being inside the restroom.”

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 11, 2025. Correction verified: at a follow-up visit by DCDEE.

Fire drills were not practiced monthly and/or the drill record was incomplete.

“A fire drill was not documented for May 2025.”

Rule Fire drills were not practiced monthly and/or the 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: Sep 15, 2025. Correction verified: by a letter from the provider.

Minimum staff/child ratios and group sizes for the number and ages of children in care were not met.

“One staff member was caring for children one year of age to four years of age from 6:30am until 12:00pm.”

Rule Minimum staff/child ratios and group sizes for the number and ages of children in care were not met.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 11, 2025. Correction verified: at a follow-up visit by DCDEE.

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.

“Items stored in plastic wrap, q-tips, mini pom pom balls, and mini Legos were accessible to children under three years of age.”

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: Sep 15, 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.

“An emergency drill was not conducted/documented for August 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: Sep 15, 2025. Correction verified: by a letter from the provider.

Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care.

“A staff member was consuming a can of Diet Dr. Pepper while children were in care.”

Rule Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care.. Corrected during the inspection.

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

“In space B113 the posted activity plan was dated for 4/7/25 through 4/11/25.”

Rule A current schedule was not posted for each group of children for reference.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 5, 2025. Correction verified: by a letter from the provider.

Center did not maintain a record of daily attendance.

“In space B113, attendance records were missing for February and March.”

Rule Center did not maintain a record of daily attendance.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 5, 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.

“A staff member hired on 3/27/25 has not completed six hours of orientation training within the first two weeks of employment.”

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

Emergency information did not name childs health care professional.

“A child enrolled on 8/5/24 did not have a health care professional listed on the application.”

Rule Emergency information did not name childs health care professional.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 5, 2025. Correction verified: by a letter from the provider.

Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional.

“In space 115b, a child’s emergency medication was not in the original packaging from the pharmacy.”

Rule Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 5, 2025. Correction verified: by a letter from the provider.

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

“A staff member hired on 6/1/23 did not have a current qualification letter 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: Jan 10, 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 emergency drill was completed on August 5, 2024. An emergency drill was not completed or documented for November 2024.”

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: Jan 7, 2025. Correction verified: by a letter from the provider.

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.

“A staff member hired on3/21/24 did not complete recognizing and responding to suspicions of child maltreatment within 90 days of employment. The training was completed on 8/1/24.”

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.

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 115b, an aerosol can of Lysol was stored in an unlocked cabinet.”

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.

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.

“A staff member hired on 3/21/24 did not have a medical report on file for review.”

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: May 17, 2024. Correction verified: by a letter from the provider.

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.

“One child’s medical report was not completed by a physician.”

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: May 17, 2024. 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.

“One child’s file did not contain immunization records within 30 days of enrollment.”

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: May 17, 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.

“A staff member hired on 3/21/24 did not have documentation of completing six clock hours of training within the first two weeks of employment.”

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: May 17, 2024. Correction verified: by a letter from the provider.

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

“One child’s file did not contain a medical report within 30 days of enrollment.”

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: May 17, 2024. 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.

“A staff member hired on 3/21/24 did not have documentation of receiving at least 16 hours of orientation within the first six weeks.”

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: May 17, 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.

“A staff member hired on 3/21/24 did not sign acknowledgement until 3/25/24. A staff member hired on 4/8/24 has not signed acknowledgement prior to caring for children.”

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: May 17, 2024. Correction verified: by a letter from the provider.

Child was handled roughly.

“On January 4, 2024, a child was handled roughly as observed on video footage.”

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: Jan 26, 2024. Correction verified: by a letter from the provider.

Discipline was related to food, rest or toileting.

“On January 4, 2024, a child did not receive snack due to not resting during rest time.”

Rule Discipline was related to food, rest or toileting.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 26, 2024. Correction verified: by a letter from the provider.

Center did not maintain a record of daily attendance.

“In space 115B, one child had not been signed in for today. The child was signed in by a staff member during today’s visit.”

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

Parent’s medication authorization did not include required information.

“In space 115B, 3 children’s permission to administer topical ointment form was missing required information such as permission valid dates, amount, and ointment expiration date. A staff member completed these items during today’s visit.”

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