Childcare Network #320

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

“The classroom designated for four and five year old children room temperature was hot for the last two weeks due to a broken air conditioner. The temperature of the classroom was not monitored with the appropriate thermometer. The playground designated for four and five year old children border around the slide is broken and cracked.”

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: Jul 1, 2026. Correction verified: by a letter from the provider.

All vehicles used to transport children were not free of hazards.

“Vehicles used to transport children enrolled in child care centers had torn upholstery that allows children to remove the interior padding.”

Rule All vehicles used to transport children were not free of hazards.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 1, 2026. Correction verified: by a letter from the provider.

Emergency and identifying information, including the child’s name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported.

“There were six (6) missing photos of children that was not apart of emergency and identifying information.”

Rule Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 1, 2026. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“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. in the classroom designated for infants and one year old children safe sleep checks were not completed and not maintained for a minimum of one month.”

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: Jul 1, 2026. Correction verified: by a letter from the provider.

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

“There were 21 children ages 2 to 10 with one caregiver in the classroom for the school age children.”

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

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.

“There were 21 children in the classroom for the school age children, which has a capacity for 20 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.. Corrected during the inspection.

Incident logs were not completed and maintained as required.

“Incident logs were not completed as required.”

Rule Incident logs were not completed and maintained as required.. Corrected during the inspection.

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

“Medical or health assessment was not on file for one child’s file reviewed today.”

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 30, 2025. Correction verified: by a letter from the provider.

Refrigerator(s) did not maintain a temperature of 45 degrees F. or below.

“There was not a thermometer in the refrigerator in the classroom for the infant children.”

Rule Refrigerator(s) did not maintain a temperature of 45 degrees F. or below.. Corrected during the inspection.

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

“Applicable ratios were not posted in Space #4a.”

Rule Staff/child ratios applicable to a classroom, were not posted in each classroom.. Corrected during the inspection.

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

“Diaper rash cream was observed in Space #4 in a child’s bubby which was not out of reach of children. In Space #7 diaper rash cream was observed on the counter next to the sink and on a shelf which were not out of the reach of children. In Space #2 Alka Seltzer cold tablets and baking soda were stored in an unlocked cabinet. Both contained drug facts labels.”

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: Mar 15, 2024. Correction verified: by a letter from the provider.

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

“Qualification letters were not on file for three staff members.”

Rule A valid qualification letter was not on file and available to review at the facility.. 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 training was obtained more than 90 days after hire for three staff members. Two additional staff members did not obtain updated CPR certification before it expired.”

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: Mar 15, 2024. 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. First Aid training was obtained more than 90 days after hire for three staff members. Two additional staff members did not obtain updated First Aid certification before it expired.”

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: Mar 15, 2024. Correction verified: by a letter from the provider.

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

“An application was not on file for two staff members. One was corrected during the visit.”

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 15, 2024. 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.

“Medical statements were not on file for two staff members.”

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: Mar 15, 2024. Correction verified: by a letter from the provider.

Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies.

“This signed statement was not on file for one staff member.”

Rule Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 15, 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.

“The food substitution at lunch was not recorded on the posted menus before being served.”

Rule Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 15, 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.

“Orientation documentation was not on file for one staff member. Not all components were covered for a second staff member.”

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: Mar 15, 2024. 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.

“A negative TB test was not on file for one staff member.”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 15, 2024. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“Staff did not complete the health and safety training within one year of employment. one staff member did not complete the health and safety training within the required time frame.”

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 15, 2024. 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.

“This training was obtained more than 90 days after hire for one staff member. This training has not been completed for a second staff member who has been employed more than 90 days.”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 15, 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.

“This signed acknowledgement was not on file for one staff member before providing care for children. The acknowledgment was not on file for an additional two staff members. One was corrected during the visit.”

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: Mar 15, 2024. Correction verified: by a letter from the provider.

There was no written emergency medical care (EMC) plan.

“The emergency medical care plan posted listed staff that no longer work at the facility.”

Rule There was no written emergency medical care (EMC) plan.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 15, 2024. Correction verified: by a letter from the provider.