River Meadow Daycare

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

“Teaching Staff Member, K. Moore had a Criminal Background Check Qualification Letter that expired on April 29, 2026.”

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: May 26, 2026. 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.

“There were two Magic Erasers. in an unlocked cabinet in space four (Frogs)”

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.

Each child’s bed, cot, or 2” mat was not individually assigned and identified.

“In space 3B (Froglets)there were two children that were not listed on the Cot Chart and were not assigned a cot.”

Rule Each child's bed, cot, or 2" mat was not individually assigned and identified.. Corrected during the inspection.

Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance).

“K. Moore had a Criminal Background Check Qualification Letter that expired on April 29, 2026.”

Rule Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance).. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 26, 2026. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“15A NCAC 18A .2804 (k) Lunches, snacks, and other meals that a child brings from home to the child care center shall be labeled with the date on which the food is brought to the child care center and the name of the child to whom the food belongs to. Space 2 (Tadpoles) had snacks brought from home for a child that were not labeled.”

Rule Rule violated (DCDEE’s description below). Corrected during the inspection.

A child’s file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information.

“Two children’s files were monitored that did not have the date the family reviewed and received the policy.”

Rule A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information.. Corrected during the inspection.

A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center.

“One child’s file monitored had no record that the parent received the summary of the law.”

Rule A summary of the NC Child Care Law was not given to a parent of every child enrolled in 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, 2026. Correction verified: by a letter from the provider.

Application for employment and date of birth was not on file for all staff.

“A staff member hired on 3/10/26 did not have an application in their file to be monitored.”

Rule Application for employment and date of birth was not on file for all staff.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 24, 2026. Correction verified: by a letter from the provider.

Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member’s individual personnel file.

“Staff members hired on 3/10/26 and 3/12/26 had the Health Questionnaires located in their personnel files.”

Rule Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 24, 2026. Correction verified: by a letter from the provider.

Operational policies were not discussed with parents on or before the child’s first day and/or they were not notified in writing of all changes.

“One child’s file monitored had no record that the operational polices were discussed with the family.”

Rule Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 24, 2026. Correction verified: by a letter from the provider.

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.

“There were plastic bags with diapers in them in a cabinet that was not locked under the countertop in the room used by children infant to one year 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.. Corrected during the inspection.

Rule violated (DCDEE’s description below)

“15A NCAC 18A .2815 WATER SUPPLY (e) Hot water used for cleaning and sanitizing utensils and laundry shall be provided at a minimum temperature of 120 degrees Fahrenheit at the point of use. Water in areas accessible to children shall be tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit. Hot water that exceeds 120 degrees Fahrenheit is a burn hazard and shall not be provided in areas accessible to children. The kitchen door was open upon arrival and no one was in the space.”

Rule Rule violated (DCDEE’s description below). Corrected during the inspection.

Rule violated (DCDEE’s description below)

Rule Rule violated (DCDEE’s description below). Corrected during the inspection.

Rule violated (DCDEE’s description below)

“The medical action plan did not contain the required information and/or was not updated on an annual basis or when changes to the plan were made by the child’s parent or health care professional. The classroom used by the children four to five years of age had a medical action plan for asthma and allergic reactions. Both plans did not have the signatures of the family and staff and dates that the medication was received.”

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

Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child’s file.

“One child’s file monitored did not have record of a signed and dated statement that the discipline policy was received and explained.”

Rule Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file.. Corrected during the inspection.

The child care provider did not provide the required beverage(s).

“A child that was located in the classroom that serves children one year to two years of age was served water with lunch instead of milk.”

Rule The child care provider did not provide the required beverage(s).. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 24, 2026. Correction verified: by a letter from the provider.

The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction.

“There was no record in a child’s file that began enrollment in March that a parent was notified of the smoking and tobacco restriction.”

Rule The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 24, 2026. Correction verified: by a letter from the provider.

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.

“Space #2 used by the children two years of age had plastic storage bags in a drawer that was not locked and was not at least 5 feet from the floor. There were diapers in plastic packaging in the the children’s cubbies that was not at least five feet from the floor.”

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 activity plan did not include a daily gross motor activity which may occur indoors and outdoors.

“Space 2 used by the preschool aged children had an activity plan that did not have a daily gross motor activity listed.”

Rule The activity plan did not include a daily gross motor activity which may occur indoors and outdoors.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 26, 2026. Correction verified: by a letter from the provider.