J.h. Gunn Asep

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.

“Emergency medication was monitored, as there were three (3) children present, listed on Group Two’s allergy list with documented chronic medical conditions requiring medication. While monitoring the medication and corresponding required paperwork present for each child it was observed that two (2) of the three (3) children present did not have medical action plans on file 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: Feb 18, 2026. Correction verified: by a letter from the provider.

Center administrators and staff did not use the information provided in the application to ensure that each individual child’s needs are met.

“Emergency medication was monitored, as there were three (3) children present, listed on Group Two’s allergy list with documented chronic medical conditions requiring medication. While monitoring the medication and corresponding required paperwork present for each child it was observed that one (1) child requiring an Epi-Pen had the medication present, but it had expired on December 31, 2025.”

Rule Center administrators and staff did not use the information provided in the application to ensure that each individual child's needs are met.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 18, 2026. Correction verified: by a letter from the provider.

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

“Emergency medication was monitored, as there were three (3) children present, listed on Group Two’s allergy list with documented chronic medical conditions requiring medication. While monitoring the medication and corresponding required paperwork present for each child it was observed that (2) of the three (3) children present did not have completed permissions to administer forms on file.”

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

The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities.

“During today’s visit, a walk-through of the ASEP facility was conducted. It was observed in both classrooms that the posted Emergency Medical Care Plan dated August, 2025 still listed the previous Site Coordinator.”

Rule The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 6, 2026. Correction verified: by a letter from the provider.

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

“In Space #2 it was observed that a bolt affixed to a metal plated attached to the wall was protruding outward about 3 inches.”

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

Application for employment and date of birth was not on file for all staff.

“Two (2) staff files were monitored, one (1) veteran staff member and one (1) staff member recently transferred on August 25, 2025. It was observed that the recent transfer did not have either a completed application on file.”

Rule Application for employment and date of birth was not on file for all staff.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 8, 2025. Correction verified: by a letter from the provider.

Center staff did not follow the EMC plan.

“Emergency medication was monitored during today’s visit. It was observed that one (1) enrolled child had medication present for a chronic medical condition, but the medication expired in August 2025.”

Rule Center staff did not follow the EMC plan.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 8, 2025. 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.

“Two (2) staff files were monitored, one (1) veteran staff member and one (1) staff member recently transferred on August 25, 2025. It was observed that the staff member recently transferred on August 25, 2025 did not have documentation on file for having completed a health assessment prior to employment.”

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: Oct 8, 2025. Correction verified: by a letter from the provider.

Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas.

“Two (2) staff files were monitored, one (1) veteran staff member and one (1) staff member recently transferred on August 25, 2025. It was observed that the recent transfer did not have documentation on file of completing the required six (6) hours of orientation within the first two weeks of employment.”

Rule Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 8, 2025. Correction verified: by a letter from the provider.

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

“Emergency medication was monitored during today’s visit. It was observed that one (1) enrolled child had medication present for a chronic medical condition, there was not a completed permission to administer medication form on file for this medication.”

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: Oct 7, 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.

“Two (2) staff files were monitored, one (1) veteran staff member and one (1) staff member recently transferred on August 25, 2025. It was observed that the staff member recently transferred on August 25, 2025 did not have documentation on file for having completed a TB test/questionnaire prior to employment.”

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: Oct 8, 2025. Correction verified: by a letter from the provider.

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

“Program records were monitored. It was observed that the last documented Emergency drills (shelter in place and lockdown) took place on August 30, 2024 and another one had not occurred in November 2024, as required.”

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: Feb 12, 2025. Correction verified: by a letter from the provider.

The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities.

“It was observed in the lobby that the posted Emergency Medical Care Plan dated February 24, 2024 still listed the previous Program Coordinator.”

Rule The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 12, 2025. Correction verified: by a letter from the provider.

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

“In Space #2 it was observed that a bolt affixed to a metal plated was protruding about three (3) inches from the wall and accessible to children.”

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: Sep 10, 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. Three (3) staff files were monitored for specialized training and current Criminal Background Checks and it was observed that one staff member did not have documentation on file certifying that she had successfully completed a First Aid Course approved by NCDCDEE.”

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: Nov 1, 2024. Correction verified: by a letter from the provider.

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

“During the walk through it was observed that the menu posted on the parent information board in the lobby was dated August 26th, 2024 through September 06th, 2024.”

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

Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection.

“Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was conducted on March 09, 2023. This was due to occur either on or before March 08, 2024 and had not taken place.”

Rule Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 17, 2024. 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.

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.

Equipment and furnishings were not sturdy, stable and free of hazards.

“The outdoor learning environment was monitored and it was observed that there were seven (7) metal fasteners on the trim of the play area enclosure protruding with visible rusting and two wooden benches had broken seating making nails and sharp pieces accessible to children. It was also observed that the paint on the bottom surface of the awning cover above the walkway used by children to both enter and exit the facility is chipping and pieces of the paint have begun to fall off.”

Rule Equipment and furnishings were not sturdy, stable and free of hazards.. 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.

The outdoor premises were not clean, drained and free of litter and hazardous materials grass and other vegetation in a manner which does not encourage vermin.

“The outdoor learning environment was monitored and it was observed that there was trash and other debris including empty drink bottles, empty water bottles, snack wrappers and pieces of torn paper present.”

Rule The outdoor premises were not clean, drained and free of litter and hazardous materials grass and other vegetation in a manner which does not encourage vermin.. 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.

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

“Medications were monitored and it was observed that two enrolled children with chronic illnesses or documented medical conditions had Emergency Medical Actions Plans present that listed requiring two medications, but each only had one medication present on site. It was also observed that there were two enrolled children listed on the program’s roster as having either a chronic illness or documented medical condition requiring emergency medication, but they did not have them available onsite.”

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: Nov 29, 2023. Correction verified: by a letter from the provider.

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

“A walk through was conducted of the ASEP classrooms, bathrooms, gym, lobby and other areas accessible to children. It was observed that the posted allergy list was not current and did not include up to date information for students currently enrolled.”

Rule Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 18, 2023. Correction verified: by a letter from the provider.