The Learning Express

Children were not adequately supervised at all times.

“On October 6, 2026, five (5) children, four (4) months of age to one (1) year of age, were left unattended and unsupervised in Space #5 for forty-seven (47) seconds (from 10:27:07am to 10:27:54am).”

Rule Children were not adequately supervised at all times..

Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.

“In Space #1, the permission to administer medication forms for one (1) tube of Boudreauxs Butt Paste Max Strenth expired on June 23, 2026, one (1) tube of Aquaphor Healing Cream 3 in 1 Diaper Rash Cream expired on June 26, 2026, and one (1) container of Triple Paste Skin Protectant expired on July 7, 2026.”

Rule Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 16, 2026. Correction verified: by a letter from the provider.

Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional.

“In Space #2, one (1) Epinephrine Injection UPS Auto Injector was not in the original container in which it was dispensed and did not have a pharmacy label.”

Rule Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 16, 2026. Correction verified: by a letter from the provider.

Children were not adequately supervised at all times.

“On April 24, 2026, a staff member failed to provide developmentally appropriate supervision and was not aware of how a child sustained two linear marks on the left arm which broke the skin.”

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: Jun 24, 2026. Correction verified: by a letter from the provider.

Center staff did not comply with the 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: Feb 26, 2026. Correction verified: by a letter from the provider.

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

“In Space #6, thirteen (13) children, three (3) to five (5) years of age, were being cared for by one (1) staff member.”

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: Aug 5, 2025. Correction verified: at a follow-up visit by DCDEE.

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.

“One (1) staff member, employed on September 24, 2024, did not have a certificate of completion on file for Recognizing and Responding to Suspicions of Child Maltreatment training.”

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

The depth of the loose surfacing was not based on critical height of the equipment.

“On playground #2, the mulch under the stationary climber measured two (2) inches to four (4) inches across the fall zone.”

Rule The depth of the loose surfacing was not based on critical height of the equipment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 24, 2025. Correction verified: by a letter from the provider.

All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement.

Rule All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 21, 2024. Correction verified: by a letter from the provider.

Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually.

“The Emergency Information Form for one (1) staff member, employed on July 5, 2023, was last updated on July 5, 2023. The Emergency Information Form for one (1) staff member, employed on October 4, 2022, was last updated on August 10, 2023. The Emergency Information Form for one (1) staff member, employed on January 23, 2017, was last updated on August 10, 2023. The Emergency Information Form for one (1) staff member, employed on November 12, 2012, was last updated on August 9, 2023.”

Rule Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 21, 2024. Correction verified: by a letter from the provider.

Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan.

Rule Each employee's personnel file did not contain an annual staff evaluation and a staff development plan.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 21, 2024. Correction verified: by a letter from the provider.

Emergency medical care information was not on file in the center on the child’s first day of attendance and/or was not updated as changes occurred or at least annually for each child.

“The emergency medical care information for one (1) child, enrolled on September 7, 2021, was last updated on August 1, 2023.”

Rule Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 21, 2024. Correction verified: by a letter from the provider.

A drug or medication was administered without written authorization and/or instructions from a child’s parent or authorized health professional.

“In Space #5, there was no Permission to Administer Medication Form on file for one (1) tube of Boudreauxs Butt Paste Max Strength.”

Rule A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 19, 2024. Correction verified: by a letter from the provider.