Small Hands - Big Future Child Care

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 fire inspection was conducted on 6/25/2026 and submitted during today’s visit. 10A NCAC 09.0304(a)”

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

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.

“An incident report was not available for a child who injured their finger during naptime on 10/14/2025.”

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: Nov 13, 2025. Correction verified: at a follow-up visit by DCDEE.

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.

“Upon my arrival, one staff member was responsible for supervising two adjacent classrooms with a total of eleven (11) children present and the youngest child present was two years old.”

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: Nov 13, 2025. Correction verified: at a follow-up visit by DCDEE.

A child care operator did not notify the Division of any new child care providers, as defined in G.S.

“110-90.2(a)(2), who were hired or moved into the child care facility within five business days. K. Cameron, who began employment on 9/15/2025 had not been added on the roster in the ABCMS portal as of today’s visit.”

Rule A child care operator did not notify the Division of any new child care providers, as defined in G.S.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 10, 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.

“R. Morrison, who began employment on 9/2/2025, had a medical report on file dated 10/8/2025.”

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.

Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.

“Permission to administer forms for Do. Blake and Dr. Blake for albuterol were not on file.”

Rule Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 10, 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.

“R. Morrison, who began employment on 9/2/2025, had a medical TB test on file dated 10/8/2025.”

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.

Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.

“The last recorded shelter-in-place drill was dated on 5/28/2025.”

Rule Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 10, 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.

“K. Cameron and R. Morrison who were hired during the month of September did not have signed statements on file”

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: Nov 10, 2025. Correction verified: by a letter from the provider.

Children under one year of age were not kept separate from children two years and older.

“Upon my arrival to the center, a six week old infant was in the space used by the preschoolers which had eight (8) children ranging in ages from three to four present.”

Rule Children under one year of age were not kept separate from children two years and older.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 16, 2025. Correction verified: at a follow-up visit by DCDEE.

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

“A teacher in the space used for the preschoolers had nine children with the youngest being a six week old.”

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: Jan 14, 2025. Correction verified: at a follow-up visit by DCDEE.

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.

“An employee who began employment on 6/25/2023 had a medical statement on file dated 7/22/2023.”

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 packet of Advil pills was stored in an unlocked cabinet above the sink in the space used by the toddlers.”

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

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.

“An employee who began employment on 6/25/2023 had a TB test on file dated for 7/20/2023”

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.

Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.

“The last lockdown drill was documented on 8/1/2023.”

Rule Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 20, 2023. 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.

“The training was not on file for two employees who began employment in April and June 2023.”

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: Dec 20, 2023. Correction verified: by a letter from the provider.