Macon Program for Progress New Horizons II

Rule violated (DCDEE’s description below)

“Pest shall be excluded from the child care center.Traps set for pest shall only be placed in areas that are inaccessible to children. Sanitation Rule Reference 15A NCAC 18A.2831b. Rooms 2-1 and 2-2 were inspected for evidence of pests and confirmed that there were roaches/bugs present. Traps were not set in the classrooms.”

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: Sep 18, 2026. Correction verified: by a letter from the provider.

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. The staff training worksheet reviewed during today’s visit listed forty-nine (49) staff members. A review of the ABCMS Provider Portal showed that nineteen staff members ( H. Whitmire, B. Hofrichter, M. King, M. Snaidman, R. Talley, B. Stephens, H. Morrison, H. Estes, N. Anderegg, C. Psiaki, J. Rathbone, M. Rimiller, S. Treutel, A. Jenkins, A. McClure, T. Gillig, G. Van Auken, K. Federici, and S. Pakaimookda) were not linked to Provider ID #56000013.”

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: Jul 8, 2026. Correction verified: at a follow-up visit by DCDEE.

A list of all children participating in the off premise activity was not available at the center.

“A list of children from space 2-7 participating in the field trip were not available at the facility.”

Rule A list of all children participating in the off premise activity was not available at the center.. Corrected during the inspection.

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

“Three children’s faces were covered by their blanket while they were asleep (one child in 2-4, one in 2-6 and one in 2-9).”

Rule A safe indoor and outdoor environment was not provided for the children.. Corrected during the inspection.

A schedule of off premise activities were not posted in each participating classroom to be viewed by parents and/or copy of the schedule was not given to parents.

“The field trip permission form for the children were signed and returned by the parents. The schedule of the field trip was not posted in the classroom in space 2-7.”

Rule A schedule of off premise activities were not posted in each participating classroom to be viewed by parents and/or copy of the schedule was not given to parents.. Corrected during the inspection.

Diaper changing surfaces were not kept free of storage.

“In space 2-4, a child’s dress and a finger paint art were left on the changing table.”

Rule Diaper changing surfaces were not kept free of storage.. 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 2-4, an outlet behind teacher desk was not covered by a safety cover.”

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.

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.

“A Desitin diaper cream in space #2-3, the classroom with two and three year old children, had a parent authorization form that expired in September 2024.”

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: Jan 31, 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 #2-4, the classroom with two year old children, had three plastic bags stored in the cubbies for children located under five feet and accessible to the 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.

When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information.

“In space #2-1, the classroom with two and three year old children, a Ventolin inhaler was administered to a child on 1/24/25 and not documented as being administered.”

Rule When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information.. Corrected during the inspection.

Fire drills were not practiced monthly and/or the drill record was incomplete.

“A fire drill was completed on July 26, 2024, however, it was not recorded on the drill record.”

Rule Fire drills were not practiced monthly and/or the drill record was incomplete.. Corrected during the inspection.

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

“In classroom six (6) there was a bottle of liquid Ibuprofen and a bottle of liquid Tylenol stored in a unlocked cabinet.”

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

All equipment and furnishings were not in good repair.

“Rust and mildew were observed on a basketball hoop and Rust was observed on four (4) tricycles located on the Head Start playground outside of building. Rust was also observed on two (2) tricycles on the Early Head Start playground outside of building 2.”

Rule All equipment and furnishings were not in good repair.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 5, 2024. Correction verified: at a follow-up visit by DCDEE.

Children were not adequately supervised at all times.

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: Feb 5, 2024. Correction verified: at a follow-up visit by DCDEE.

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

“In classroom space 2-2, the permission to administer medication for one (1) diaper cream expired on 12/19/23.”

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: Feb 5, 2024. Correction verified: at a follow-up visit by DCDEE.

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

“Playground inspections were not available for the month of October.”

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: Feb 5, 2024. Correction verified: at a follow-up visit by DCDEE.

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.

“Trash bags containing a suffocation warning were stored under five feet in space 2-1 with four (4) 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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 5, 2024. Correction verified: at a follow-up visit by DCDEE.

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.

“After review of new staff files the date of receipt and review of the facility’s policy on Prevention of Shaken Baby Syndrome and Abusive Head Trauma was not documented for one (1) staff member hired on 1/8/24.”

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: Feb 5, 2024. Correction verified: at a follow-up visit by DCDEE.

Toxic plants were accessible to children.

“In building two classroom 2-5 there was an umbrella tree in the classroom, which is considered a toxic plant.”

Rule Toxic plants were accessible to children.. Corrected during the inspection.

Children were not adequately supervised at all times.

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: Feb 5, 2024. Correction verified: at a follow-up visit by DCDEE.

Child was handled roughly.

“On 12/19/23 a staff member grabbed a three-year-old child’s arm, moved the child off a slide, and carried the child to another location. The child sustained red marks and bruises to the right arm.”

Rule Child was handled roughly.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 5, 2024. Correction verified: by a letter from the provider.

There was a substantiation of child maltreatment.

“The Division determined child maltreatment based on a staff member causing physical injury to a child.”

Rule There was a substantiation of child maltreatment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 10, 2024. Correction verified: at a follow-up visit by DCDEE.