Little Debbie Day Care II

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.

“Child enrolled on 6/25/26 did not have updated information.”

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.. Corrected during the inspection.

Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics.

“Staff trainings should have been renewed in February 2026.”

Rule Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics.. Corrected during the inspection.

Rule violated (DCDEE’s description below)

“Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. was not available or posted.”

Rule Rule violated (DCDEE’s description below). Corrected during the inspection.

Rule violated (DCDEE’s description below)

“Medical exam or health assessment record was not on file before or within 30 days after admission. children enrolled in Feberary did not have information on file.”

Rule Rule violated (DCDEE’s description below). Corrected during the inspection.

Rule violated (DCDEE’s description below)

“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, child enrolled in February did not have information on file.”

Rule Rule violated (DCDEE’s description below). Corrected during the inspection.

The EPR Plan did not include the location of the Ready to Go File and or the required information.

“The file was not available for review.”

Rule The EPR Plan did not include the location of the Ready to Go File and or the required information.. Corrected during the inspection.

Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty.

Rule Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty.. Corrected during the inspection.

Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty.

“There was no evidence of this inside of the classroom.”

Rule Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty.. Corrected during the inspection.

At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care.

“Staff that was present in the classroom took the incorrect SIDs training to meet this requirement.”

Rule At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care.. Corrected during the inspection.

Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years.

“Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Staff in the infant room took the Health and Safety infant/toddler sudden death syndrome and not the NC ITS-SIDS that is required.”

Rule Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 1, 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.

“Child did not have any immunizations in their file or a statement saying they do not get immunized.”

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.

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

“There was no staff development plan conducted.”

Rule Each employee's personnel file did not contain an annual staff evaluation and a staff development plan.. Corrected during the inspection.

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.

“Children who were enrolled over a year did not have updated information.”

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 1, 2025. Correction verified: by a letter from the provider.

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.

“Staff that worked for the facility who left and was re-employed in 2024 had a TB test conducted on 2022.”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 1, 2025. Correction verified: by a letter from the provider.

Operational policies were not discussed with parents on or before the child’s first day and/or they were not notified in writing of all changes.

“There is no evidence of this happening.”

Rule Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 1, 2025. Correction verified: by a letter from the provider.

Parent participation plan was not discussed with parents on or before the child’s first day of attendance and/or a copy was not given to them or posted in the center.

“There is no evidence/documentation showing that this happened.”

Rule Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 1, 2025. Correction verified: by a letter from the provider.

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

“Staff did not have current training for a March 2024 start date. Training on file was from 2022.”

Rule Staff did not complete the health and safety training within one year of employment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 1, 2025. Correction verified: by a letter from the provider.

The activity plan did not include a daily gross motor activity which may occur indoors and outdoors.

“Infant and toddlers did not have gross motor play on the plan.”

Rule The activity plan did not include a daily gross motor activity which may occur indoors and outdoors.. Corrected during the inspection.

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

“Infants and one year old child that are eating table food or baby jar food was not reflected or updated on the plan.”

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: Aug 1, 2025. Correction verified: by a letter from the provider.

A violation was found for which there is no item number.

“Environmetal Health: 15A NCAC 18A .2803 HANDWASHING Children used wipes instead of washing hands at the sink.”

Rule A violation was found for which there is no item number.. 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.

“One child did not have a chart available for review.”

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.. 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.

“The outlet between the cribs was not covered.”

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.

Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible.

“There were two broken riding toys on the playground. Corrected on site”

Rule Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible.. Corrected during the inspection.

Medical exam or health assessment record was not on file before or within 30 days after admission.

“Child was enrolled on 10-2023, and medical forms was not received until 2-2024.”

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

“Children were served whole corndogs.”

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: Jul 22, 2024. Correction verified: by a letter from the provider.

Refrigerator(s) did not maintain a temperature of 45 degrees F. or below.

“There was no thermometer present to measure the temperature.”

Rule Refrigerator(s) did not maintain a temperature of 45 degrees F. or below.. Corrected during the inspection.

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

“Feeding schedule was not updated for two children.”

Rule The written feeding plan was not modified as the child's needs changed.. Corrected during the inspection.

Menus for all meals and snacks were not current or posted where easily seen by parents and cook.

“Menu was posted for last week.”

Rule Menus for all meals and snacks were not current or posted where easily seen by parents and cook.. Corrected during the inspection.

Rule violated (DCDEE’s description below)

“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. plastic bags of wipes were in the children’s cubbies.”

Rule Rule violated (DCDEE’s description below). Corrected during the inspection.