Smiling Faces Child Care Center, Inc.

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

“Active ant piles were observed on the sidewalk and ground of the preschool playground.”

Rule A safe indoor and outdoor environment was not provided for the children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 20, 2026. Correction verified: at a follow-up visit by DCDEE.

Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review.

“Arrival and departure times were not documented for eight children between the dates of October 2, 2026, through October 14, 2026.”

Rule Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 26, 2026. Correction verified: by a letter from the provider.

Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.

“Containers of lotion, powder, and creams in Space #2 were not returned to parents for children no longer enrolled in the program.”

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Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization..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: Oct 20, 2026. Correction verified: at a follow-up visit by DCDEE.

When combining age groups, the staff/child ratios for the youngest child in the group was not maintained for the entire group.

“Nine children ages two to three years old were cared for by one caregiver in Space #5.”

Rule When combining age groups, the staff/child ratios for the youngest child in the group was not maintained for the entire group.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 20, 2026. Correction verified: at a follow-up visit by DCDEE.

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

“Written authorization and/or instructions from a child’s parent or authorized health professional was not on file for an EpiPen kept on site for a child enrolled. Also, an asthma inhaler was observed without a container.”

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: Nov 21, 2025. Correction verified: by a letter from the provider.

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

“Bolts were protruding from the black border enclosing the play equipment on preschool and infant/toddler playgrounds posing tripping hazards. Two nails were protruding from the wooden porch connected to the shed on the preschool playground.”

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

Children were not adequately supervised at all times.

“Adequate supervision was not provided when L. James, assistant director, left seven (7) children ranging from ages three to five in the office unattended for approximately two to three minutes.”

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: Nov 19, 2025. Correction verified: at a follow-up visit by DCDEE.

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

“Mupirocin cream on site for a child enrolled was not in original pharmacy labeled container.”

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: Nov 21, 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.

“Documentation verifying completion of recognizing and responding to suspicions of child maltreatment training was not on file for one employee hired on June 2, 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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 21, 2025. Correction verified: by a letter from the provider.

When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review.

“Screen time logs were not completed and available for review.”

Rule When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 21, 2025. Correction verified: by a letter from the provider.

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

“On the school age playground and the toddler playground there was grass growing in the mulch and fire ants around boarder.”

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