Tiny Hands and Feet

The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete.

“There was no documentation of a required shelter in place/lockdown drill for May 2025.”

Rule The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the 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: Nov 5, 2025. 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 30 days.

“There were no sleep chart documentations for the 1 enroll infant.”

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 30 days.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 14, 2025. Correction verified: by a letter from the provider.

Copy of each child’s health assessment, including the operator’s own preschool child(ren), was not on file within 30 days of enrollment.

“A child’s file was missing the medical report.”

Rule Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 14, 2025. Correction verified: by a letter from the provider.

Copy of each child’s immunization record, including the operator’s own preschool child(ren), was not on file.

“A child’s file was missing immunization records.”

Rule Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 14, 2025. Correction verified: by a letter from the provider.

Electrical outlets not in use were not covered.

“An electrical outlet was not covered in the bathroom.”

Rule Electrical outlets not in use were not covered.. Corrected during the inspection.

Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy.

“A child’s file was missing the acknowledgement for the shaken baby policy.”

Rule Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 14, 2025. Correction verified: by a letter from the provider.

Operator did not provide a written statement to parents regarding the smoking and tobacco restriction.

“A child’s file was missing the no smoking acknowledgement form.”

Rule Operator did not provide a written statement to parents regarding the smoking and tobacco restriction.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 14, 2025. Correction verified: by a letter from the provider.

Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home.

“A child’s file was missing the acknowledgement of the discipline policy.”

Rule Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 14, 2025. Correction verified: by a letter from the provider.

Summary of the NC Child Care Law was not given to each child’s parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file.

“A child’s file was missing the acknowledgement of the summary of the law.”

Rule Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 14, 2025. Correction verified: by a letter from the provider.

Copy of each child’s health assessment, including the operator’s own preschool child(ren), was not on file within 30 days of enrollment.

“A child’s file did not include a health assessment (medical report).”

Rule Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 20, 2024. Correction verified: by a letter from the provider.

Health questionnaire was not completed annually.

“The operator’s health questionnaire was not completed annually.”

Rule Health questionnaire was not completed annually.. Corrected during the inspection.