Denver Christian Academy Preschool

All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet.

“In space #3, one spray bottle of Luxury Room Mist indicating “keep out of reach of children and pets” with additional safety warnings was observed on a shelf above the hand washing sink.”

Rule All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet.. 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 staff member, P. Kidwell, employed on October 30, 2025, and one staff member, M. Manicone, employed on November 13, 2025, did not complete Cardiopulmonary Resuscitation (CPR) training until May 1, 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. One staff member, P. Kidwell, employed on October 30, 2025, and one staff member, M. Manicone, employed on November 13, 2025, did not complete First Aid training until May 1, 2026.”

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

Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission.

“The immunization record for one child enrolled on April 13, 2026, was not received within 30 days of enrollment. The immunization record for this child was not on file available for review.”

Rule Each child was not immunized as per Article 6 of Chapter 130A and an immunization 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: Jun 9, 2026. 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.

“The medical exam for one child enrolled on April 13, 2026, was not completed within 30 days of enrollment. The medical exam for this child was not on file available for review.”

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: Jun 9, 2026. 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 #9, a bucket of several foam sponges were accessible to one child two years of age in the art activity area.”

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.

Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional.

“In space #4, a medication permission form was written by the parent for one tube of Equate Athlete’s Foot antifungal cream belonging to a child, seven months of age. The manufacturer’s instructions on the antifungal cream indicated “do not use on children under 2 years of age unless directed by a doctor.””

Rule Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional.. Corrected during the inspection.

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

“The most recent shelter-in-place emergency drill was completed on February 11, 2026.”

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: Jun 9, 2026. Correction verified: by a letter from the provider.

Staff did not complete the health and safety training within one year of employment.

“One staff member, A. Simpson, employed on February 12, 2024, did not complete all required health and safety training until April 3, 2025. One staff member, S. Jones, employed on July 22, 2024, did not complete all required health and safety trainings until May 1, 2026.”

Rule Staff did not complete the health and safety training within one year of employment.. Corrected during the inspection.

The activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group of children in care.

“On the activity plan posted in space #6 and space #7, the classrooms for children two and three years of age, “sand” was listed as the activity for sand and water activities for each day of the week.”

Rule The activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group 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 9, 2026. 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.

“One staff member, S. Jones, employed on July 22, 2024, did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until January 28, 2025. One staff member, P. Kidwell, employed on October 30, 2025, did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until May 4, 2026. One staff member, M. Manicone, employed on November 13, 2025, did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until April 29, 2026.”

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.. Corrected during the inspection.

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

“A criminal background check qualification letter was not on file for one staff member, Lauren Howard, employed on October 20, 2025, from November 7, 2025, through November 18, 2025. The previous criminal background check qualification letter expired on November 6, 2025, and the staff member did not receive the five year recheck qualification letter until November 19, 2025.”

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

All stationary equipment, more than 18 inches high, was not installed over protective surfacing.

“On the playground for preschool children, exposed gravel and a thin layer of dirt was observed at the exit of the large, beige slide of the composite structure.”

Rule All stationary equipment, more than 18 inches high, was not installed over protective surfacing.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 30, 2025. Correction verified: by a letter from the provider.

Center staff did not comply with the safe sleep policy.

“In space #4, the classroom for infants, a sleep position was not documented for one infant five months of age at 12:05pm and 12:15pm on December 5, 2025. In space #4, the classroom for infants, a sleep position was not documented for one infant eleven months of age at 10:58am, 11:00am, and 11:15am on December 9, 2025.”

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: Dec 30, 2025. 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 #4, the classroom for infants, plastic diaper packaging and plastic grocery bags with safety warnings were observed in an unlocked cabinet below the diaper changing table 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.

Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance).

“One staff member, Lauren Howard, employed on October 20, 2025, had a criminal background check qualification letter that expired on November 6, 2025, and did not receive the five year recheck qualification letter until November 19, 2025.”

Rule Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance).. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 30, 2025. Correction verified: by a letter from the provider.

A child’s hands were not washed after each diaper change.

“In space #4, one six-month-old infant and one eight-month-old infant’s hands were not washed after their diapers were changed.”

Rule A child's hands were not washed after each diaper change.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 2, 2025. Correction verified: by a letter from the provider.

All administrators and staff did not complete a professional development plan within one year of employment, that included all the required information.

“One staff member, A. Behling, employed on 3/13/2023, and one staff member, K. Hobbs, employed on 4/23/2024, did not have a staff professional development plan on file for review.”

Rule All administrators and staff did not complete a professional development plan within one year of employment, that included all the required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 2, 2025. Correction verified: by a letter from the provider.

All children were not held or placed in feeding chairs or other appropriate apparatus to be fed.

“In space #4, one staff member, K. Hobbs, fed an infant, nine months of age, a bottle while the infant was sitting in a swing.”

Rule All children were not held or placed in feeding chairs or other appropriate apparatus to be fed.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 2, 2025. Correction verified: by a letter from the provider.

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 staff member, D. Griffin, employed on 8/5/2024 did not complete Cardiopulmonary Resuscitation (CPR) training until 1/29/2025. One staff member, N. Troutman, employed on 9/9/2024 did not complete CPR training until 1/29/2025. One staff member, B. Gray, employed on 1/30/2025 did not complete CPR training until 6/2/2025.”

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. One staff member, D. Griffin, employed on 8/5/2024 did not complete First Aid training until 1/29/2025. One staff member, N. Troutman, employed on 9/9/2024 did not complete First Aid training until 1/29/2025. One staff member, B. Gray, employed on 1/30/2025 did not complete First Aid training until 6/2/2025.”

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

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 space #4, on 5/12/2025, a sleep position was not documented at 1:45pm for one eight-month-old infant. On 5/16/2025, a sleep position was not documented at 9:30am for one three-month-old infant. On 5/19/2025, a sleep position was not documented at 10:30am and 11:15am for one nine-month-old infant. On 6/16/2025, a sleep position was not documented at 9:40am for one six-month-old infant.”

Rule 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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 2, 2025. 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: Jul 2, 2025. Correction verified: by a letter from the provider.

Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission.

“The immunization record for one child enrolled on 8/19/2024, was not received until 1/31/2025.”

Rule Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission.. Corrected during the inspection.

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.

“In space #4, three electrical outlets were uncovered and accessible to children in an unlocked cabinet below the sink.”

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.

Incident logs were not completed and maintained as required.

“An incident log was not maintained for incident reports within the past year.”

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.

“The medical exam for one child enrolled on 8/19/2024, was not completed until 1/21/2025.”

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

Staff did not complete the health and safety training within one year of employment.

“One staff member, A. Behling, employed on 3/13/2023 did not complete all required health and safety training until 7/13/2024.”

Rule Staff did not complete the health and safety training within one year of employment.. Corrected during the inspection.

The activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group of children in care.

Rule The activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group 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: Jul 2, 2025. 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.

“One staff member, D. Griffin, employed on 8/5/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 3/31/2025. One staff member, N. Troutman, employed on 9/9/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 1/24/2025. One staff member, R. Rondinelli, employed on 1/2/2025 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 5/28/2025. One staff member, B. Gray, employed on 1/30/2025 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 6/4/2025.”

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.. Corrected during the inspection.

The written feeding plan was not modified as the child’s needs changed.

“In space #4, one feeding plan for a child thirteen months of age was not updated to include baby food and table food modifications, as reported by staff as the child’s current feeding habits. The feeding plan only listed mother’s milk.”

Rule The written feeding plan was not modified as the child's needs changed.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 2, 2025. Correction verified: by a letter from the provider.

All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet.

“In space #9, two tubs of Lysol disinfectant wipes, two tubs of Clorox disinfectant wipes, one bottle of BIC correction fluid, and one tube of Dr. Teal’s body lotion was observed in an unlocked cabinet below a vertical distance of five feet from the floor. The key was stored in the lock and the cabinet door was broken.”

Rule All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet.. 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 staff member employed on 1/24/2024 did not complete Cardiopulmonary resuscitation (CPR) training until 6/11/2024. One staff member employed on 2/12/2024 did not complete Cardiopulmonary resuscitation (CPR) training until 6/11/2024.”

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. One staff member employed on 1/24/2024 did not complete First Aid training until 6/11/2024. One staff member employed on 2/12/2024 did not complete First Aid training until 6/11/2024.”

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

Aquatic activities were permitted in hot tubs, spas, saunas or steam rooms, portable wading pools, natural bodies of water, or other unfiltered non disinfected containments of water.

“During water play outdoors, children three and four years of age were observed playing in a sprinkler pad with a pool of water containing two inches of water.”

Rule Aquatic activities were permitted in hot tubs, spas, saunas or steam rooms, portable wading pools, natural bodies of water, or other unfiltered non disinfected containments of water.. Corrected during the inspection.

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.

“In space #7, one electrical outlet was uncovered and accessible to children beside the cots. Typically, when the cots are stacked the electrical outlet was behind the furniture, however, during the visit the electrical outlet was exposed.”

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.

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 staff member employed on 11/27/2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 5/27/2024. One staff member employed on 1/24/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 6/2/2024. One staff member employed on 2/12/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 6/10/2024. One staff member employed on 5/3/2024 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 7/8/2024.”

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.. Corrected during the inspection.

The written feeding plan was not modified as the child’s needs changed.

“In space #1, one feeding plan for a child enrolled on 9/5/2023 was not updated to include baby food and table food modifications. The most recent update was completed on 12/1/2023.”

Rule The written feeding plan was not modified as the child's needs changed.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 23, 2024. Correction verified: by a letter from the provider.

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 staff employed on 8/21/2023 did not complete CPR training within 90 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: Feb 13, 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 staff employed on 8/21/2023 did not complete First Aid training within 90 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: Feb 13, 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.

“One staff employed on 8/21/2023 did not have a TB screening or TB results until 10/26/2023. One staff employed on 9/11/2023 had a TB screening on file dated 10/30/2023 that was not signed by a healthcare professional. One staff employed on 8/7/2023 did not have a TB screening or TB results until 11/14/2023.”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 13, 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.

“In space #6, one electrical outlet not in use was observed uncovered and accessible to children beside the shelf labeled “table toys.” In space #8, one electrical outlet not in use was observed uncovered and accessible to children below the radio.”

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.

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.

“One staff employed on 8/21/2023 did not have a medical statement completed until 10/26/2023. One staff employed on 9/11/2023 did not have a medical statement completed until 10/30/2023.”

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.

Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care.

“In space #3, a clear plastic cup with a lid and straw containing a staff member’s protein shake was observed on a shelf accessible to children.”

Rule Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care.. Corrected during the inspection.

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 staff employed on 8/7/2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 1/23/2024. One staff employed on 9/18/2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 1/23/2024. One staff employed on 9/11/2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 1/25/2024.”

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.. Corrected during the inspection.

The written feeding plan was not modified as the child’s needs changed.

“Feedings plans for three children enrolled in space #1 were not updated since 4/24/2023, 6/14/2023, and 1/5/2024 to reflect changes in each child’s eating habits, including table food.”

Rule The written feeding plan was not modified as the child's needs changed.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 13, 2024. Correction verified: by a letter from the provider.