University Meadows A.s.e.p.

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.

“One (1) group leader hired 3/23/26 and one (1) group leader hired 4/13/26 did not have signed acknowledgment of the Prevention of Shaken Baby and Abusive Head Trauma for review.”

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: May 5, 2026. 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.

“A bottle of sanitizer was stored on a cart accessible to children inside an unlocked closet in the gym.”

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.

Center did not maintain a record of daily attendance.

“Attendance was not documented as children arrived to the program.”

Rule Center did not maintain a record of daily attendance.. Corrected during the inspection.

Parent’s medication authorization did not include required information.

“The medication authorization for a child with a chronic condition was not signed and dated.”

Rule Parent's medication authorization did not include required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 2, 2025. Correction verified: by a letter from the provider.

The medical action plan was not updated on an annual basis or when changes to the plan were made by the child’s parent or health care professional.

“The completed action plan for a child with a chronic condition was not signed and dated by the parent or health care provider.”

Rule The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent 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: Jun 2, 2025. Correction verified: by a letter from the provider.

All equipment and furnishings were not in good repair.

“A slide on the playground behind the mobile units was cracked at the bottom of the slide.”

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: Sep 25, 2024. Correction verified: by a letter from the provider.

Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services.

“A child with a reported allergy did not have a completed medical action plan onsite for review.”

Rule Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 25, 2024. Correction verified: by a letter from the provider.

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

“A box of Benadryl was observed in the ASEP office and was not stored behind lock and key.”

Rule Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 25, 2024. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“Medication authorization was not completed for a child’s Benadryl.”

Rule Parent's medication authorization did not include required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 25, 2024. Correction verified: by a letter from the provider.

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.

“Two (2) group leaders were observed eating Jimmy Johns in front of children as snack was served.”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 25, 2024. Correction verified: by a letter from the provider.

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

“The mulch underneath fall zones was observed less than 6 inches.”

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: Sep 25, 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.

“Five (5) electrical outlets in the art room were observed without safety plugs in place.”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 7, 2024. Correction verified: at a follow-up visit by DCDEE.

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

“I observed the group leader for Group 1 leave her group and walk out of the cafeteria. There were seventeen (17) children present and three (3) of the children were four (4) years of age.”

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: May 7, 2024. Correction verified: at a follow-up visit by DCDEE.

Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served.

“Snack consisted of cheese bread wraps, honey grahams, 100% apple juice and milk was provided as well. The posted CMS menu stated carrots instead of honey grahams. The menu was not changed prior to children eating.”

Rule Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 7, 2024. Correction verified: at a follow-up visit by DCDEE.

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

“The last lockdown drill was conducted 12/20/23. A lockdown or shelter in place drill should have been conducted March 2024.”

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: May 7, 2024. Correction verified: at a follow-up visit by DCDEE.