Tutor Time Child Care Learning Centers

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. Cardiopulmonary resuscitation (CPR) certification for one staff member employed on July 31, 2025, expired on December 31, 2025. This staff member did not renew CPR training until February 26, 2026. Cardiopulmonary resuscitation (CPR) certification for one staff member employed on February 13, 2024, expired on June 25, 2026. This staff member did not renew CPR training until September 17, 2026.”

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 certification for one staff member employed on July 31, 2025, expired on December 31, 2025. This staff member did not renew First Aid training until February 26, 2026. First Aid certification for one staff member employed on February 13, 2024, expired on June 25, 2026. This staff member did not renew First Aid training until September 17, 2026.”

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

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

“In space #3, ten diaper rash creams were observed in an unlocked cabinet below the diaper changing table accessible to children. The lock on the drawer was not operating correctly.”

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

Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age.

“In space #6, several small pieces of chalk and foam stamps were observed in the art activity area accessible to a child two years of age.”

Rule Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age.. Corrected during the inspection.

All 5 of the following activity areas were not available daily to each group art/creative play, children’s books, blocks/block building, manipulatives, family living/dramatic play.

“No art or creative play materials were accessible to children two and three years of age in space #5. An art activity area was available with baskets labeled for art materials, however, no materials were on the shelves.”

Rule All 5 of the following activity areas were not available daily to each group art/creative play, children's books, blocks/block building, manipulatives, family living/dramatic play.. Corrected during the inspection.

Center staff did not comply with the safe sleep policy.

“In space #1A, on 11/5/2025, a sleep position was not documented by K.P. at 1:45pm for one nine-month-old infant and a sleep position was not documented by F.P. at 3:15pm for one six-month-old infant. On 11/6/2025, a sleep position was not documented by F.P. at 4:00pm and 4:15pm for one six-month-old infant. On 11/7/2025, a sleep position was not documented by M.C. at 11:30am and 11:45am for one six-month-old infant.”

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

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

“On playground space #1, the playground for preschool children, the composite play structure contained a length of thirteen (13) inches of exposed rusty metal along the edge of the platform at the bottom of the steps.”

Rule Equipment and furnishings were not sturdy, stable and free of hazards.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 24, 2025. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“In space #1B, the permission form for one child’s Boudreaux’s Butt Paste dated 10/15/2025, did not include when to apply the medication and the permission form for one child’s diaper rash cream dated 10/29/2025, did not include when to apply the medication.”

Rule Parent's medication authorization did not include required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 24, 2025. Correction verified: by a letter from the provider.

Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements.

“Playground inspections conducted from December 2024 through June 2025 were completed by staff member, J. Artis, who was not trained in playground safety requirements. A training certificate for playground safety was not on file for review for this staff member.”

Rule Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 30, 2025. Correction verified: by a letter from the provider.

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

“In space #12, a broken bucket with a cracked corner containing sharp edges was accessible to children in the manipulative activity area.”

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

Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age.

“In space #6, one Ziploc bag with safety warnings, containing a child’s clean change of clothes, was observed in the child’s cubby accessible to children two years of age.”

Rule Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age.. 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. One new staff employed on February 13, 2024, did not complete cardiopulmonary resuscitation (CPR) training within ninety days of employment.”

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: Jun 27, 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. One new staff employed on February 13, 2024, did not complete First Aid training within ninety days of employment.”

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: Jun 27, 2024. Correction verified: by a letter from the provider.

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

“In outdoor space #2, a twelve-inch crack with pinch points was observed on the platform of the bridge on the portable climber accessible to children. On the same portable climber, a twelve-inch crack with pinch points was observed on the platform attached to the green climbing steps and play wheel accessible to children as well as a three-inch crack with pinch points on the green climbing steps.”

Rule Equipment and furnishings were not sturdy, stable and free of hazards.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 27, 2024. Correction verified: by a letter from the provider.

Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age.

“In space #3, the classroom for children one and two years of age, five plastic packages of wipes with suffocation warnings were observed in a cabinet below the diaper changing table with a magnetic lock that was not functioning properly and accessible to children.”

Rule Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age.. Corrected during the inspection.

All walls and ceilings including doors and windows were not kept clean and in good repair.

“One stained ceiling tile was observed on the ceiling in the office and one stained ceiling tile was observed on the ceiling in space #12.”

Rule All walls and ceilings including doors and windows were not kept clean and in good repair.. Corrected during the inspection.

Application for enrollment did not include all required information.

“The application for six of the twelve children’s files reviewed did not include allergies and symptoms, particular fears, unique behavior characteristics, and/or health care concerns the child may have.”

Rule Application for enrollment did not include all required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 23, 2024. Correction verified: by a letter from the provider.

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

“In outdoor space #2, an eleven-inch crack with sharp edges and pinch points was observed on the platform of the bridge on the portable climber accessible to children. On the same portable climber, a twelve-inch crack with sharp edges and pinch points was observed on the platform attached to the green climbing steps and play wheel accessible to children.”

Rule Equipment and furnishings were not sturdy, stable and free of hazards.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 23, 2024. 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.

“One child enrolled on 6/12/2023 did not have a medical exam or health assessment completed until 7/27/2023.”

Rule Medical exam or health assessment record was not on file before or within 30 days after admission.. Corrected during the inspection.

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

“Documentation of orientation for one staff employed on 5/31/2023 did not include orientation training in all topic areas. Training on all topic areas within the first two weeks was completed, however, only training on firsthand observation of the center’s daily operations and instruction in the employee’s assigned duties was documented as completed on June 1, 2023, and June 2, 2023.”

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: Jan 23, 2024. Correction verified: by a letter from the provider.

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

“On November 29, 2023, a staff member picked a child up by one arm which resulted in Nursemaid elbow.”

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: Feb 6, 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.

“Six children one year of age, one child two years of age, eleven children three years of age and three children four years of age were observed in the foyer at the entrance of the facility with two staff.”

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: Nov 13, 2023. Correction verified: at a follow-up visit by DCDEE.

Children used space that was not approved.

“Twenty-one children between the ages of one and four were observed in the foyer at the entrance of the facility sitting at child sized tables eating snack with two staff.”

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: Nov 13, 2023. Correction verified: at a follow-up visit by DCDEE.

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

“Twenty-one children, one through four years of age, were observed in the foyer at the entrance of the facility with two staff.”

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: Nov 13, 2023. Correction verified: at a follow-up visit by DCDEE.