The Nest School

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

“Fire ants were observed in the planters between playground one and two and in the mulch on playground 3. Multiple ants were observed inside in spaces 1 and 2.”

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: Oct 8, 2026. Correction verified: by a letter from the provider.

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

“The qualification letter issued 8-21-26 for one staff member was not available for review at the facility.”

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 29, 2026. Correction verified: by a letter from the provider.

An individual written feeding plan was not provided by child’s parent or health care provider or was not followed and posted.

“(omit posting for centers located in a residence) The feeding schedules for two children less than fifteen months of age were not followed.”

Rule An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 29, 2026. Correction verified: by a letter from the provider.

Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month.

“Documentation of sleep checks for children in space 1 were not maintained as required.”

Rule Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 29, 2026. Correction verified: by a letter from the provider.

Center staff did not comply with the safe sleep policy.

“Sleep checks were not completed every fifteen minutes as required and in accordance with your Safe Sleep Policy.”

Rule Center staff did not comply with the safe sleep policy.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 29, 2026. Correction verified: by a letter from the provider.

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).

“A new criminal record check was not completed for one staff member prior to the 5-7-26 expiration date of her previous letter.”

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).. Corrected during the inspection.

Children were not adequately supervised at all times.

“On 9-1-26, a two year old female child was in the hallway, unsupervised by a staff member, for twenty nine seconds.”

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 15, 2026. Correction verified: at a follow-up visit by DCDEE.

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

“Benedryl and Zyrtec were stored in an unlocked closet in the lobby.”

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

A violation was found for which there is no item number.

Rule A violation was found for which there is no item number.. 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.

“Five cans of aerosol foam soap were stored in an unlocked top cabinet in space 6. Cloroguard Disinfectant and Zep Disinfecting Wipes were stored in the unlocked cabinet under the sink in the kitchen. Zep Disinfectant and Suave Detangler were stored in the unlocked storage closet in the lobby of the building.”

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 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. A CPR course was not completed within ninety days of hire by one staff member with a hire date of 12-15-25.”

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: Aug 12, 2026. 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. A first aid course was not completed within ninety days of hire by one staff member with a hire date of 12-15-25.”

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: Aug 12, 2026. Correction verified: by a letter from the provider.

Caregiver did not respond at the earliest opportunity to an infant or toddler’s physical and emotional needs.

“Two children less than twelve months of age were not attended to at the earliest opportunity. Both children were observed crying for more than five minutes while both staff members were engaged in other activities.”

Rule Caregiver did not respond at the earliest opportunity to an infant or toddler’s physical and emotional needs.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 30, 2026. Correction verified: at a follow-up visit by DCDEE.

Center staff did not comply with the safe sleep policy.

“A sleeping infant was not moved from a bouncy seat to his/her crib.”

Rule Center staff did not comply with the safe sleep policy.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 30, 2026. Correction verified: at a follow-up visit by DCDEE.

Each child under the age of 12 months was not given supervised tummy time positioned on his/her stomach while awake and alert each day.

“Two children, under twelve months of age, were not closely supervised during tummy time.”

Rule Each child under the age of 12 months was not given supervised tummy time positioned on his/her stomach while awake and alert each day.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 30, 2026. Correction verified: at a follow-up visit by DCDEE.

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

“Eleven children, all under age one, were present in space 1. This exceeds the maximum group size of ten for infants.”

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: Jul 30, 2026. Correction verified: at a follow-up visit by DCDEE.

Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs.

“Bread was not served for lunch during the visit.”

Rule Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 30, 2026. Correction verified: at a follow-up visit by DCDEE.

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

“Over the counter diaper creams, non-aerosol sunscreen and non-aerosol bug spray were stored on a shelf in the cabinet under the changing table, which was not locked, in space 7. A variety of over the counter medications, including Zyrtec and Benedryl, were stored in the unlocked storage closet in the lobby of the building.”

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

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

“The activity plan in space 3 was dated for 12-15-25 to 12-19-25.”

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

A violation was found for which there is no item number.

“On or about September 10, 2025, an employee with a communicable disease or a communicable condition was not excluded from work or subject to restrictions to prevent transmission. This is a violation of Sanitation Requirement 15A NCAC 18A .2827(e).”

Rule A violation was found for which there is no item number.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 2, 2025. Correction verified: by a letter from the provider.

Center did not maintain a record of daily attendance.

“During today’s visit, attendance was not recorded in space 4.”

Rule Center did not maintain a record of daily attendance.. 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.

“Three aerosol cans of hand soap and three aerosol cans of paint were stored in an unlocked top cabinet in space 10.”

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 staff did not review the center’s EPR Plan during orientation and/or on an annual basis with the trained staff.

“Documentation of the review was not maintained on file. Verification of review of the plan was not available for one new staff member with a hire date of 6-4-25.”

Rule All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 12, 2025. Correction verified: by a letter from the provider.

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 completed medical report was not provided prior to employment for one staff member with a hire date of 6-4-25. This staff member’s medical report was completed on 7-14-25.”

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.

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

“A tube of Aquaphor and a tube of A&D were observed on the administrator’s desk; the door to the office 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.

New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks.

“Verification of orientation was not available for one new staff member with a hire date of 6-4-25.”

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: Aug 12, 2025. Correction verified: by a letter from the provider.

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.

“TB test results were not provided on or before the first day of work for one staff member with a hire date of 6-4-25. TB test results for this staff member were dated 7-13-25.”

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

“Verification of review of the plan was not available for one new staff member with a hire date of 6-4-25.”

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 12, 2025. 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.

“Verification of review of the policy was not available for one new staff member with a hire date of 6-4-25.”

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: Aug 12, 2025. Correction verified: by a letter from the provider.

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

“The tines on forks used by the children were bent, creating a hazard when used.”

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: Feb 17, 2025. Correction verified: by a letter from the provider.

A violation was found for which there is no item number.

Rule A violation was found for which there is no item number.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 17, 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.

“Verification of completion of the required training hours was not available for one staff member with a hire date of 12-16-24.”

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.

Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection.

“Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The previous fire inspection was completed on 8-25-23, thus a new inspection was due on or before 8-25-24. A new inspection was not completed until 8-26-24.”

Rule Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection.. Corrected during the inspection.

Children were not adequately supervised at all times.

“Nine two year old children from space 8 were not adequately supervised while on the playground.”

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

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

“Nine children, one one year old child and eight children less than one year of age, were present in space 1 with one staff member.”

Rule Enhanced staff/child ratios and group sizes were not met.. Corrected during the inspection.

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

“Twenty three children, all ages four and five years of age, were present with one staff member in space 5.”

Rule Enhanced staff/child ratios and group sizes were not met.. Corrected during the inspection.

Center staff did not comply with the safe sleep policy.

“A child less than twelve months of age was observed sleeping in a bouncy seat.”

Rule Center staff did not comply with the safe sleep policy.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 10, 2024. Correction verified: by a letter from the provider.

Children used space that was not approved.

“The group of children from space 6 used the long hallway outside of their classroom for gross motor activities and the short hallway outside of their classroom for story time. These hallways are not approved for the use of the children for routine care.”

Rule Children used space that was not approved.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 10, 2024. Correction verified: by a letter from the provider.

For each child, there was not at least 30 sq. ft. inside space per the total licensed capacity and 100 sq. ft. outside space for each child using the outdoor learning environment at any one time.

“The long hallway outside of space 6, which will accommodate 16 children at 30 square foot per child, was used for gross motor play by a group of twenty children. The short hallway outside of space 6, which will accommodate 4 children at 30 square foot per child, was used for story time by a group of twenty children.”

Rule For each child, there was not at least 30 sq. ft. inside space per the total licensed capacity and 100 sq. ft. outside space for each child using the outdoor learning environment at any one time.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 10, 2024. Correction verified: by a letter from the provider.

Children were not adequately supervised at all times.

“A two year old male child was left unattended on the playground for approximately three to four minutes.”

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: Mar 6, 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.

“The storage closet behind the front desk was not locked. The following hazardous products were stored in the closet: aerosol glass cleaner (3 cans) and Clorox Toilet Bowl Cleaner. A bottle of nail polish remover was stored on a top shelf in an unlocked cabinet in space 7.”

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.

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.

“Two outlets in a power strip by the bottle warmers in space 1 were not covered or in use.”

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.

The staff/child ratios for children, two years and older, during naptime were not maintained by having at least one person in each room, visually supervising all children and the total number of required staff on the premises within calling distance of each room occupied by children.

“The total number of required staff were not on the premises to provide coverage during naptime. Three of the five classrooms using this allowance during naptime did not have a second person available.”

Rule The staff/child ratios for children, two years and older, during naptime were not maintained by having at least one person in each room, visually supervising all children and the total number of required staff on the premises within calling distance of each room occupied by children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 6, 2024. Correction verified: at a follow-up visit by DCDEE.