Tutor Time Child Care/Learning Center

A current activity plan was not posted for each group of children for reference.

“Spaces 2, 4, and 11 did not have current activity plans posted.”

Rule A current activity plan was not posted for each group of children for reference.. Corrected during the inspection.

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

“A child’s emergency medication was stored behind lock and key.”

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

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.

“An Air Wick gel air freshener was stored on top of a cabinet below 5 feet in Space 1. Packets of alcohol swabs were stored in a drawer accessible to children in Space 2.”

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.

All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair.

“There was a hole in the wall with exposed dry wall above the molding in Space 6 for infant care. The hole was accessible to children.”

Rule All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 20, 2026. Correction verified: by a letter from the provider.

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.

“Safe sleep checks were not maintained or completed for four (4) infants in Space 6. There were no sleep checks documented for J.W. Safe sleep checks were documented on 6/8 for M.D. on 6/8/26 but attendance showed he was present since 6/8/26. A.T. had a safe sleep check documented 6/22/26 and attendance showed she was present every day since 6/22/26. O.L. did not have any documented safe sleep checks and attendance showed he was present every day.”

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.

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

“Four (2) new employees did not have documentation of 6 hours of orientation in the first 2 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: Jul 20, 2026. Correction verified: by a letter from the provider.

New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks.

“Two (2) employees hired 5/11/26 and 5/18/26 did not have documentation of 16 hours of orientation within the first 6 weeks of employment.”

Rule New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 20, 2026. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“There was not a permission form completed for an Epi pen or Benadryl in Space 3.”

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: Jul 20, 2026. Correction verified: by a letter from the provider.

A valid qualification letter was not on file and available to review at the facility.

“One (1) new employee hired 4/13/26 did not have a qualification letter on file to review. The qualification was verified in the ABCMS portal.”

Rule A valid qualification letter was not on file and available to review at the facility.. Corrected during the inspection.

Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit.

“The latch to the air conditioning units was broken. The units were accessible to children.”

Rule Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 27, 2026. Correction verified: at a follow-up visit by DCDEE.

Each child’s bed, cot, or 2” mat was not individually assigned and identified.

“One (1) infant was visiting Space 6 today from Space 7. The crib the infant was observed sleeping in was not labeled with the child’s name.”

Rule Each child's bed, cot, or 2" mat was not individually assigned and identified.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 27, 2026. Correction verified: at a follow-up visit by DCDEE.

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

“The director reported that Space 8 was out of ratio this morning. The face-to-name sheet indicated fourteen (14) children two years of age were present with one (1) teacher from 8:30 am to 8:55 am.”

Rule Enhanced staff/child ratios and group sizes were not met.. Corrected during the inspection.

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

“The wooden slats on the fence surrounding the air conditioning units were pulled away and nails were observed loose. Screws were loose and rusted along the bottom of the slats. Children had access to the area next to air conditioning units.”

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: May 27, 2026. Correction verified: at a follow-up visit by DCDEE.

For each child, there was not at least 30 sq. ft. inside space per the total licensed capacity and 100 sq. ft. outside space for each child using the outdoor learning environment at any one time.

“The measured maximum group size for Space 8 was twelve (12) children. There were fourteen (14) children present from 8:30 am - 8:55 am today.”

Rule For each child, there was not at least 30 sq. ft. inside space per the total licensed capacity and 100 sq. ft. outside space for each child using the outdoor learning environment at any one time.. 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 (1) infant was observed asleep in her crib in Space 7. There was not a safe sleep chart completed for the child.”

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.

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

“The updated application dated 2/3/25 stated the child was allergic to bananas and peaches. The center’s parent communication app stated the child was given peaches on 6/30/25 for lunch. On 7/8/25 the child was given banana muffins for afternoon snack. On 8/18/25 the child was given peaches for lunch. On 9/11/25 the child was given fresh bananas for lunch. On 11/5/25 the child was given peaches for lunch. On 2/19/26 the child was given fresh bananas for lunch and banana muffins for afternoon snack.”

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: Apr 21, 2026. 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.

“Special diet or food allergy information was posted inside the cabinet doors in Spaces 2, 3, 4, and 5.”

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: Apr 21, 2026. Correction verified: by a letter from the provider.

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

“Six (6) children 0-12 months of age were present with one (1) teacher from 8:23 am - 8:29 am on 3/31/26.”

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: Apr 14, 2026. Correction verified: at a follow-up visit by DCDEE.

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

“A piece of cabinet was observed propped against the diaper changing table accessible to children in Space 8. The board had two (2) screws poking out of the back.”

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.

Children were not adequately supervised at all times.

“While typing the visit summary in Space 1 I observed a four (4) year old child enter the classroom alone and give a piece of paper to a therapist. The child opened the door and left Space 1 and returned to Space 4 where the teacher came to the doorway and watched the child as she walked down the hall to Space 4.”

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: Apr 1, 2026. Correction verified: at a follow-up visit by DCDEE.

A drug or medicine was administered in a manner not authorized by the child’s parent, physician or other authorized health professional.

“On 3/2/26 Aquafor was applied to a scrape on a child’s forehead. The completed permission form for the Aquaor stated the ointment was to be applied to the child’s nose and surrounding area prior to going outdoors.”

Rule A drug or medicine was administered in a manner not authorized by the child's parent, physician or other authorized health professional.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 17, 2026. Correction verified: at a follow-up visit by DCDEE.

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

“On 3/4/26 one (1) teacher was present with nine (9) children one year of age. The ratio for one year old children is 1:6.”

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: Mar 17, 2026. Correction verified: at a follow-up visit by DCDEE.

Incident logs were not completed and maintained as required.

“Incident reports were not documented in the incident log since January 2026.”

Rule Incident logs were not completed and maintained as required.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 17, 2026. Correction verified: at a follow-up visit by DCDEE.

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

“Sanitation Rule 15A NCAC 18A .2815 (e) Hot water used for cleaning and sanitizing utensils and laundry shall be provided at a minimum temperature of 120 degrees Fahrenheit at the point of use. The hot water measured 108 degrees at the three-compartment sink in the kitchen.”

Rule A violation was found for which there is no item number.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 17, 2026. Correction verified: by a letter from the provider.

All staff did not successfully complete certification in CPR training appropriate to the age of the children in care.

“Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) employee’s CPR expired 12/29/25.”

Rule All staff did not successfully complete certification in CPR training appropriate to the age of the children in care.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 10, 2026. 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. One (1) employee’s First Aid training expired 12/29/25.”

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: Feb 10, 2026. Correction verified: by a letter from the provider.

Center has not passed required sanitation inspection and received an approved or superior rating.

“The center received a “disapproved” sanitation inspection on 12/18/25 and repairs have not been completed for reinspection.”

Rule Center has not passed required sanitation inspection and received an approved or superior rating.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 19, 2026. Correction verified: by a letter from the provider.

The center’s safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily.

“The safe sleep policy was not posted in Space 7.”

Rule The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily.. 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.

“Diapers were stored in torn plastic bags on the floor of the bathroom between Spaces 8 & 9. Two year old children were present in both classrooms.”

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.

Potential biocontaminants were not stored properly (locked storage, removed from premises, inaccessible to children, or covered plastic lined receptacle).

“The trashcan lid removed from the restroom can located between Spaces 8 & 9. Soiled diapers were observed inside the trashcan.”

Rule Potential biocontaminants were not stored properly (locked storage, removed from premises, inaccessible to children, or covered plastic lined receptacle).. Corrected during the inspection.

A current activity plan was not posted for each group of children for reference.

“The posted activity plan in Space 3 was not current.”

Rule A current activity plan was not posted for each group of children for reference.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 24, 2025. Correction verified: by a letter from the provider.

Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit.

“The gate to the air conditioners on early preschool side of the playground was unlocked.”

Rule Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 24, 2025. 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.

“An aerosol can of Glade was stored on a shelf in the bathroom between Spaces 8 & 9. An aerosol can of cologne was stored on a bus accessible to children.”

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.

All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement.

“Twelve staff members did not have have a current Health questionnaire on file.”

Rule All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 24, 2025. Correction verified: by a letter from the provider.

Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider.

“A child’s permission to transport expired 7/7/24.The child was listed on the morning transportation roster today.”

Rule Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 24, 2025. Correction verified: by a letter from the provider.

Children were not adequately supervised at all times.

“On December 3, 2025 a 2-year-old child was left on the playground unsupervised for approximately three (3) minutes. The child was discovered by another teacher who was inside and took the child back to their classroom”

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

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

“One staff member started employment on May 5, 2025 and did not complete the required training within the first two week of employment until June 2, 2025.”

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: Dec 24, 2025. Correction verified: by a letter from the provider.

Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child’s file.

“Incident reports were maintained in a notebook and not in the children’s file.”

Rule Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 24, 2025. Correction verified: by a letter from the provider.

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

“Permission for a child’s nystatin was expired 11/28/25. A child’s diaper cream permission expired 8/2/25.”

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: Dec 24, 2025. Correction verified: by a letter from the provider.

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

“No playground inspections were completed for October and November of 2025.”

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: Dec 24, 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.

“Diapers were stored in torn plastic bags on the floor of the bathroom between Spaces 8 & 9. Two year old children were present in both classrooms.”

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: Dec 24, 2025. Correction verified: by a letter from the provider.

The EMC plan was not reviewed with all staff annually and whenever the plan was revised.

“An intern director started August 2025 and added her name to the EMC and did not review it with the staff.”

Rule The EMC plan was not reviewed with all staff annually and whenever the plan was revised.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 24, 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 medical action plan for a child with a chronic allergy expired 8/8/25. The medication listed on the medical action plan was not onsite.”

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: Dec 24, 2025. Correction verified: by a letter from the provider.

The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current.

“The plan has not been reviewed since November 27, 2024.”

Rule The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 24, 2025. Correction verified: by a letter from the provider.

The written feeding plan did not include the child’s name, parent signature, and/or was not dated when received by the center.

“Two (2) children did not have feeding schedules posted in Space 5. One (1) child’s feeding plan was not signed by the parents.”

Rule The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 24, 2025. Correction verified: by a letter from the provider.

All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair.

“Multiple doors and door frames throughout the building were observed peeling paint and paint was observed bubbling in areas. Classroom walls were observed peeling paint as well. Repeat violation”

Rule All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 11, 2025. Correction verified: at a follow-up visit by DCDEE.

All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair.

“Multiple doors and door frames throughout the building were observed peeling paint and paint was observed bubbling in areas. Classroom walls were observed peeling paint as well.”

Rule All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 11, 2025. Correction verified: at a follow-up visit by DCDEE.

Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child’s developmental needs.

“Since the previous visit conducted on 9/14/25, it was reported that a teacher observed another teacher in Space 11 roll a child off his cot onto the floor to wake him from rest time. Repeat violation.”

Rule Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs.. 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: at a follow-up visit by DCDEE.

Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child’s developmental needs.

“It was reported during staff interviews that a they observed a teacher use inappropriate tone and volume when speaking to children. They also reported they witnessed her pull children by their wrists to the seated position.”

Rule Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs.. 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: at a follow-up visit by DCDEE.

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

Rule A violation was found for which there is no item number.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 29, 2025. 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.

“Two (2) bags of ice melt was stored on the floor in the village accessible to children.”

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.

All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair.

“Walls throughout the building were observed in poor repair. The paint was observed chipped and peeling.”

Rule All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 29, 2025. Correction verified: by a letter from the provider.

Application for enrollment did not include all required information.

“One (1) child’s application did not include all of the required information completed.”

Rule Application for enrollment did not include all required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 29, 2025. Correction verified: by a letter from the provider.

Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider.

“One (1) child did not have a permission to transport on file for review. Permission to transport were current for all other children, however several children’s permissions did not indicate where the child was being pick up from and the times.”

Rule Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 29, 2025. Correction verified: by a letter from the provider.

Human milk, formula and other bottled beverages including sippy cups, sent from child’s home were not fully prepared, dated, and labeled for the appropriate child.

“Two (2) sets of bottles were not dated.”

Rule Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 29, 2025. Correction verified: by a letter from the provider.

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

“A child’s medication permission was expired in Space 3.”

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: Jan 29, 2025. Correction verified: by a letter from the provider.

New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks.

“One (1) employee hired 4/4/24 did not have documentation of receiving 16 hrs of orientation.”

Rule New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 29, 2025. Correction verified: by a letter from the provider.

Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement.

“Six (6) children did not have the date of enrollment listed on the discipline policy. One (1) child did not have the date the policy was signed.”

Rule Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 29, 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.

“A child’s medical action plan for a chronic condition was expired in Space 3.”

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: Jan 29, 2025. Correction verified: by a letter from the provider.

The written feeding plan did not include the child’s name, parent signature, and/or was not dated when received by the center.

“Three (3) infant feeding plans were not signed by parents.”

Rule The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 29, 2025. Correction verified: by a letter from the provider.

Balloons were accessible to children.

“Two (2) latex balloons were observed accessible to children in Space 2.”

Rule Balloons were accessible to children.. Corrected during the inspection.

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

“Sanitation Rule 15A NCAC 18A .2832 (b) Sand toys, water tables, and other unfiltered items that can collect standing water in the outdoor learning environment shall be emptied and stored to prevent the collection of standing water. A covered water table in Space 1 filled with water and toys including a doll were floating inside. The water smelled and appeared dirty.”

Rule A violation was found for which there is no item number.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 4, 2024. Correction verified: at a follow-up visit by DCDEE.

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

“Sanitation Rule 15A NCAC 18A .2817 Storage in toilet rooms shall be limited to toileting and diapering supplies. I observed bulk storage inside a bathroom in the community room.”

Rule A violation was found for which there is no item number.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 4, 2024. Correction verified: at a follow-up visit by DCDEE.

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

Rule A violation was found for which there is no item number.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 4, 2024. Correction verified: at a follow-up visit by DCDEE.

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.

“In Space 1 I observed a cabinet unlocked and bottle of lavender room spray with multiple warnings stored inside. I observed the kitchen storage closet in the hallway unlocked with a gallon of paint stored inside.”

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.

All group leaders were not at least 18 years of age, have a high school diploma, and/or had not completed Basic School Age Care (BSAC) training.

“BSAC training was due 5/12/24 for the school age teacher.”

Rule All group leaders were not at least 18 years of age, have a high school diploma, and/or had not completed Basic School Age Care (BSAC) training.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 13, 2024. Correction verified: by a letter from the provider.

All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair.

“Ceiling tiles were observed water stained in Space 3 and Space 4. The classroom door to Space 1 was observed with peeling paint. The air vents in the hallway and in Space 3 were observed with dirt build up.”

Rule All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 18, 2024. 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.

“A teacher who began employment on 5/20/24 did not have a medical report on file for review.”

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: Jun 4, 2024. Correction verified: at a follow-up visit by DCDEE.

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

“Twelve (12) two year olds were present in Space 9 with one (1) teacher. The second teacher was observed entering Space 8 from the playground. Space 8 & 9 were separated by a half wall.”

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: Jun 4, 2024. Correction verified: at a follow-up visit by DCDEE.

A written statement from each child’s parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available.

“Off -premise permissions were not updated annually.”

Rule A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 7, 2024. Correction verified: by a letter from the provider.

All staff did not successfully complete certification in CPR training appropriate to the age of the children in care.

“Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) employee did not have CPR training appropriate the age of children in care.”

Rule All staff did not successfully complete certification in CPR training appropriate to the age of the children in care.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 6, 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. One (1) employee did not have First Aid training appropriate the age of children in care.”

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: Feb 6, 2024. Correction verified: by a letter from the provider.

All vehicles used to transport children were not free of hazards.

“The tire tread was less than 2/32 of an inch on the front passenger side of Bus #KD152.”

Rule All vehicles used to transport children were not 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 7, 2024. Correction verified: by a letter from the provider.

All walls and ceilings including doors and windows were not kept clean and in good repair.

“The ceiling tiles in Spaces 2, 4, and 5 were observed wet and stained. Walls were observed with chipped paint throughout the building. The air ducts in the ceiling in Space 3 were observed with a build up of black dirt that was being blown on ceiling tiles and the exit sign.”

Rule All walls and ceilings including doors and windows were not kept clean and in good repair.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 18, 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.

“One (1) child’s application and medical report stated a food allergy. A medical action plan was not completed and attached to the application.”

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 7, 2024. Correction verified: by a letter from the provider.

Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider.

“Permission to transport was not completed as required and not current.”

Rule Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 7, 2024. Correction verified: by a letter from the provider.

Each child’s bed, cot, or 2” mat was not individually assigned and identified.

“Cots were not labeled in Spaces 1, 4, and 5. A cot chart was not posted in the classroom to identify individual sleeping surfaces.”

Rule Each child's bed, cot, or 2" mat was not individually assigned and identified.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 7, 2024. Correction verified: by a letter from the provider.

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.

“Emergency medical care (EMC) information was not completed on multiple children’s applications in the file and in the transpiration notebook. Some EMC information was not updated annually.”

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: Feb 7, 2024. Correction verified: by a letter from the provider.

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

“The caulk behind sinks and counters was peeling and observed with mold and mildew. Counters were covered with contact paper to cover dents/scratches. The contact paper was observed peeling.”

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

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

“One (1) child was enrolled 3/12/23 and the health assessment was dated 11/6/23.”

Rule Medical exam or health assessment record was not on file before or within 30 days after admission.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 7, 2024. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“Permissions for diaper ointments in Spaces 4 and 5 were not fully completed. The name of the diaper creams were not completed for two (2) children and one (1) child’s permission did not indicate how much and how often to apply cream.”

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: Feb 7, 2024. Correction verified: by a letter from the provider.

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

“A tube of Nystatin in Space 4 did not have the prescription attached to the tube.”

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: Feb 7, 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.

“There was a large puddle on the toddler playground where water from the playground and building collected. The gutter system was not attached to the building to prevent rain run-off collecting on the playground.”

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: Jun 4, 2024. Correction verified: at a follow-up visit by DCDEE.