Kid’s Country of Clayton, Inc.

Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.

“Aquaphor had an expiration date 12/2025.”

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Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.. Corrected during the inspection.

Equipment and furnishings were not sturdy, stable and free of hazards.

“A piece of playground equipment had exposed footers and the bolts were sticking up potentially causing a tripping hazard.”

Rule Equipment and furnishings were not sturdy, stable and free of hazards.. Corrected during the inspection.

Menus for all meals and snacks were not current or posted where easily seen by parents and cook.

“The menu posted in the classroom designated for infants was dated for October 20, 2024-November 1, 2024. The menu posted in the hallway was dated for July 2025.”

Rule Menus for all meals and snacks were not current or posted where easily seen by parents and cook.. Corrected during the inspection.

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.

“In the classroom designated for infants, a can of Pepsi was observed on a high chair.”

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.

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. CPR was not completed within 90 days of hire for two new employees.”

Rule All staff did not successfully complete certification in CPR training appropriate to the age of the children in care.. Corrected during the inspection.

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. First aid training was not completed with 90 days of hire for two new employees.”

Rule All staff did not successfully complete certification in First Aid appropriate to the age of children in care.. Corrected during the inspection.

Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents.

“Safe pickup and delivery procedures were not posted.”

Rule Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents.. Corrected during the inspection.

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

“In the space designated for toddlers, the activity plan was dated August 5-9, 2024.”

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

Center staff did not follow the EMC plan.

“The current plan still does not identify how to handle illness or other medical emergencies.”

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: Aug 14, 2024. Correction verified: by a letter from the provider.

Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served.

“Today’s lunch menu consisted of ham and cheese sandwiches, however bologna was substituted and not recorded on the menu prior to being served.”

Rule Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served.. Corrected during the inspection.

The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care.

“The plan was not revised to identify an alternate person.”

Rule The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care.. Corrected during the inspection.

An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required.

“The director did not mail the completed incident form to the Child Care Consultant.”

Rule An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required.. Corrected during the inspection.

Center staff did not comply with the safe sleep policy.

“Toys and stuffed animals were in a crib with a sleeping infant.”

Rule Center staff did not comply with the safe sleep policy.. Corrected during the inspection.

Center staff did not follow the EMC plan.

“The current plan does not have identify how to handle illness or other medical emergencies.”

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: Aug 14, 2024. Correction verified: by a letter from the provider.

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

“A seven (7)year old child was grouped with the infants.”

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: Aug 14, 2024. Correction verified: at a follow-up visit by DCDEE.

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.

“One electrical outlet was uncovered in the classroom designated for toddlers.”

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.

Enhanced staff/child ratios and group sizes were not met.

“There were seven (7) infants in the classroom with one (1) teacher.”

Rule Enhanced staff/child ratios and group sizes were not met.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 14, 2024. Correction verified: at a follow-up visit by DCDEE.

Staff/child ratios applicable to a classroom, were not posted in each classroom.

“The classroom designated for toddlers did not have the staff/child ratios form posted.”

Rule Staff/child ratios applicable to a classroom, were not posted in each classroom.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 14, 2024. Correction verified: at a follow-up visit by DCDEE.

The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care.

“The plan was not revised to identify an alternate person after the Assistant Director left her employment.”

Rule The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 14, 2024. Correction verified: at a follow-up visit by DCDEE.

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

“The last documented review of the EMC plan in one (1) staff file was completed on 01/27/2023.”

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: Aug 14, 2024. Correction verified: at a follow-up visit by DCDEE.

Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child’s developmental needs.

“A staff member grabbed a one-year-old child by one arm as well as aggressively placed a child on the changing table, resulting in the two-year-old child hitting their head.”

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: Jun 12, 2024. Correction verified: by a letter from the provider.