The Nest School

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 required training was not available for one new staff member with a hire date of 9-14-26.”

Rule Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas..

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

“The activity plans posted in spaces 1 and 7 were not dated and could therefore not be considered as current.”

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

Children were not adequately supervised at all times.

“A staff member closed the classroom door and was unaware that a one year old child’s finger was in the door, resulting in an injury to the child’s finger.”

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: May 29, 2025. Correction verified: by a letter from the provider.

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

“Incident reports were not submitted for an injuries that resulted in medical treatment that occurred on 5-17-24 and 5-20-24.”

Rule An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 18, 2025. Correction verified: by a letter from the provider.

Center staff did not follow the EMC plan.

“A parent was not contacted by phone on 5-20-24 following a bite to the face that broke the skin.”

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: Feb 18, 2025. Correction verified: by a letter from the provider.

Incident logs were not completed and maintained as required.

“Incident reports were not logged for incidents that occurred on 10-17-24 and 10-29-24.”

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: Feb 18, 2025. 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.

“Incident reports that were listed on the log were not available for review for injuries to a two year old child on the following dates: 5-17-24, 9-24-24, 10-7-24, 10-9-24, 12-4-24, and 12-12-24.”

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: Feb 18, 2025. Correction verified: by a letter from the provider.

The operator made an effort to falsify information.

“During the 1-16-25 complaint visit, the administrator provided inaccurate information when directly asked if they were notified that medical treatment was sought for a child following injuries that occurred on 5-17-24 and 5-20-24. During the 2-4-25 visit, while reviewing an email from a child’s parent, the administrator provided inaccurate information when asked if the parent notified her in the email that medical treatment was sought for their child following injuries on 5-17-24 and 5-20-24.”

Rule The operator made an effort to falsify information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 18, 2025. 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.

“A completed health assessment was not available in one of the children’s files reviewed.”

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: Jan 24, 2025. Correction verified: by a letter from the provider.

Children were not adequately supervised at all times.

“Five children less than one year of age were left unsupervised in space 2 for approximately two minutes.”

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

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

“Benedryl, which is not considered an emergency medication was stored in a backpack used to stored emergency medication in space 10. This backpack was not in locked storage. In space 7, two cold packs and a small bottle of hand sanitizer were stored in a backpack that was not in locked storage.”

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

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

“A staff member was outside with 15 four year old children, making the staff member out of ratio.”

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 6, 2024. Correction verified: by a letter from the provider.

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 outlet in a power strip in space 3 was 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.