Children of America Charlotte, LLC

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.

“Three (3) children’s standing permission forms were expired.”

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..

Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children.

“A staff member in space 8 became frustrated with a child in space 8 and jokingly stated to a child (whispered in the child’s ear) that she was going to “pinch” the child during a group activity instead of pinching the child, the staff member poked the child in the side of his back.”

Rule Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 17, 2026. Correction verified: at a follow-up visit by DCDEE.

A summary of the NC Child Care Law was not posted in a prominent place in the center.

“The summary of NC Child Care Law was not posted in the lobby.”

Rule A summary of the NC Child Care Law was not posted in a prominent place in the center.. Corrected during the inspection.

All beds,cots, or mats with individual linen were not provided for each child.

“Two (2) children did not have individual linens covering their cots during rest time.”

Rule All beds,cots, or mats with individual linen were not provided for each child.. Corrected during the inspection.

The license was not posted in a prominent place at all times.

“The license was not posted in the lobby.”

Rule The license was not posted in a prominent place at all times.. Corrected during the inspection.

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.

“Four (4) children did not have current permission to transport. The expected time of departure and arrival was documented as “time varies” on multiple permission forms.”

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: Oct 22, 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.

“One (1) employee hired 12/4/24 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: Oct 29, 2025. Correction verified: by a letter from the provider.

Distance learning was used to complete First Aid, CPR and/or playground safety training.

“One (1) employee, MB, used distance learning from an unapproved trainer for First Aid and CPR training.”

Rule Distance learning was used to complete First Aid, CPR and/or playground safety training.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 27, 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.

“One (1) employee hired 11/4/24 did not complete six clock hours of training within the first two weeks of employment. The orientation form was incomplete.”

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 27, 2025. Correction verified: by a letter from the provider.

Emergency and identifying information, including the child’s name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported.

“Three (3) children did not have pictures attached to emergency information. One (1) child did not have emergency contact information completed and three (3) children did not have a hospital listed for emergency medical care information.”

Rule Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 24, 2025. Correction verified: by a letter from the provider.

For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices.

“There were not enough materials in the home living center or blocks center in Spaces 4 and 5.”

Rule For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 21, 2025. Correction verified: by a letter from the provider.

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.

“Two (2) employees, DH and AF, did not complete health and safety training every 5 years. One (1) employee, MB, did not complete medication training every 5 years. One (1) employee, MW, did not complete medication and food allergy training every 5 years.”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 27, 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 11/4/24 did not complete orientation within the first 6 weeks of employment. The orientation form was incomplete.”

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: Oct 27, 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.

“One (1) employee hired 12/4/24 did not have a TB test on file for review.”

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

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 completed 4/15/24. An inspection occurred in May 2025 but items were found unsatisfactory and the DCDEE inspection form was not completed.”

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: Dec 4, 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.

“Plastic bags were observed stored in a drawer accessible to children and underneath the changing table in Space 3.”

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.

Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance).

“One (1) employee’s qualification letter expired 6/22/25 and the new letter was dated 6/27/25.”

Rule Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance).. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 29, 2025. Correction verified: by a letter from the provider.

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

“One (1) employee, LJ, did not complete health and safety trainings within the first year of employment.”

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

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.

“Three (3) employees did not have documentation of receiving the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy.”

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: Nov 6, 2025. Correction verified: by a letter from the provider.

A safe indoor and outdoor environment was not provided for the 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: Jun 12, 2025. Correction verified: by a letter from the provider.

A summary of the NC Child Care Law was not posted in a prominent place in the center.

“The summary of the NC Child Care Law was not posted next to the permit.”

Rule A summary of the NC Child Care Law was not posted in a prominent place in the center.. Corrected during the inspection.

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.

“A staff member’s Bojangles cookie was observed sitting on a table where school aged children were playing games.”

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.. 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.

“Both buses used to transport children had first aid kits accessible to children with items marked keep out of reach of children and listed additional warnings on the labels. A small travel pack of Motrin was observed in the cup holder accessible to children on one of the buses.”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 19, 2024. Correction verified: by a letter from the provider.

Emergency and identifying information, including the child’s name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported.

“Emergency medical care information was not updated annually for children transported.”

Rule Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 19, 2024. Correction verified: by a letter from the provider.

Emergency information did not include name, address, and telephone number of parent or other emergency contact person.

“Five (5) children did not have the address listed on the application for emergency contacts.”

Rule Emergency information did not include name, address, and telephone number of parent or other emergency contact person.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 19, 2024. Correction verified: by a letter from the provider.

For children under three years of age, materials were not kept in a space with related equipment and materials.

“The housekeeping and art centers in Space 4 did not have materials accessible to children. The kitchen and dress up centers in Space 5 did not have materials available for children.”

Rule For children under three years of age, materials were not kept in a space with related equipment and materials.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 19, 2024. Correction verified: by a letter from the provider.

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.

“One (1) established employee did not renew health and safety trainings every five (5) years. Trainings were due to be completed again in 2022.”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 19, 2024. 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.

“Playground inspections were not documented for March - May 2024.”

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: Nov 19, 2024. 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 9/24/24 did not have documentation of receiving 16 hrs 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: Nov 19, 2024. 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.

“Two (2) discipline policies did not have the child’s date of enrollment included on the signed copy.”

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: Nov 19, 2024. 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.

“Small rocks were observed on the changing table counters in Spaces 4 and 5.”

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.

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

“A thermometer was not placed in the small refrigerator in Space 2 for infant care.”

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

The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment.

“One (1) employee hired 5/20/24 did not complete maltreatment training within 90 days. The training was completed 9/30/24.”

Rule The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 19, 2024. Correction verified: by a letter from the provider.

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

“A therapist was observed working independently with a child during the visit. She did not have a CBC qualification letter on file for review. Her qualification was confirmed in the ABCMS system.”

Rule A valid qualification letter was not on file and available to review at the facility.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 28, 2024. Correction verified: by a letter from the provider.

All equipment and furnishings were not in good repair.

“The couch in the cozy area in Space 5 was observed peeling and in poor repair. Books in Space 7 were observed with torn and bent covers and pages. The knobs were missing to the play stove in Space 7.”

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 10, 2024. Correction verified: by a letter from the provider.

Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children.

“A teacher from Space 10 was overheard not interacting with children in a positive manner and using an elevated volume with children while they prepared to eat and use the restroom after lunch. She was overheard in the space next door loudly telling a child to “get down”, “you’re not the mom”, “stop playing”, and “you’re a big boy. Pee pee on the potty if you need to go.””

Rule Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with 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.

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.

“A bottle of Pepsi was observed on the floor in Space 7.”

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 10, 2024. Correction verified: by a letter from the provider.

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

“A new employee did not have a valid qualification letter on file for review. Their qualification was verified in the ABCMS system.”

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

All staff did not review the center’s EPR Plan during orientation and/or on an annual basis with the trained staff.

“Documentation of the review was not maintained on file. Documentation of review of the center’s EPR plan was not available for review in the volunteer’s file.”

Rule All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 9, 2024. 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.

“One (1) new employee hired 4/22/24 did not complete six hours or orientation. The child maltreatment module was completed 2/8/24 prior to hire. The training should be specific to the facility.”

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 9, 2024. Correction verified: by a letter from the provider.

Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member’s individual personnel file.

“Medical information was not maintained seperately for five (5) new staff members and the volunteer.”

Rule Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 9, 2024. 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.

“An incident report was not completed for a child who had a broken piece of a toy removed from her mouth by the teacher.”

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: Jul 9, 2024. 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.

“The volunteer who was onsite weekly since 5/29/24 did not have a TB test completed.”

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: Jul 9, 2024. Correction verified: by a letter from the provider.

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.

“A signed acknowledgement of receipt of the Shaken Baby Syndrome and Abusive Head Trauma policy was not available for review in six (6) new staff files.”

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: Jul 9, 2024. Correction verified: by a letter from the provider.

A child was yelled at, shamed, humiliated, frightened, threatened or bullied.

“On May 3, 2024, a staff member carried a four-year-old child down the hallway and used the word “retarded” to the child who has special needs.”

Rule A child was yelled at, shamed, humiliated, frightened, threatened or bullied.. 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.

Child was handled roughly.

“On May 3, 2024, a staff member grabbed a four-year-old child aggressively and carried the child by putting their arms under the child’s arms, and locking their hands behind the child’s head, restricting the child’s movement. The child’s arms were extended up and the child’s feet were off the floor. The child repeatedly screamed, “Let me go!””

Rule Child was handled roughly.. 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.

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

“On May 3, 2024, a staff member snatched items from a four-year-old child’s hands, causing the child to have a tantrum. The staff member repeatedly said to the child, “I don’t have time for this.””

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: May 20, 2024. Correction verified: by a letter from the provider.

There was a substantiation of child maltreatment.

“There was a substantiation of child maltreatment. Pursuant to its investigation, the Division has confirmed sufficient information to determine child maltreatment.”

Rule There was a substantiation of child maltreatment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 24, 2025. 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.

“The laundry closet was observed unlocked. Bleaches, detergents and cleaners were observed 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.

Children between 12 and 24 months of age were grouped with children 3 years of age or older.

“A one (1) year old child from Space 4 was moved to Space 5. The oldest child in Space 5 was three (3) years old.”

Rule Children between 12 and 24 months of age were grouped with children 3 years of age or older.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 30, 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.

“Menus posted outside of all classrooms except Space 8 did not indicate the correct substitution made to today’s menu. Space 8 did not have any substitutions documented.”

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

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

“Orientation cannot be confirmed for an employee hired 1/30/24 based on the documentation provided. It was documented that the employee received 16 hours of orientation on 2/1/24.”

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: Apr 30, 2024. Correction verified: by a letter from the provider.

Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children.

“While standing outside Space 5 I heard a teacher in Space 8 using a harsh tone and raised voice. I walked to the window located in the hallway and observed a teacher standing at the bathroom door yelling at children across the room to sit down and go to the carpet now using an inappropriate tone.”

Rule Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 30, 2024. Correction verified: by a letter from the provider.

The operator made an effort to falsify information.

“The orientation for a new employee hired 3/25/24 signed by the assistant director stated fifteen (15) hours of orientation occured on 3/27/24. She stated she did not spend fifteen (15) hours with the new employee on 3/27/24.”

Rule The operator made an effort to falsify information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 30, 2024. Correction verified: by a letter from the provider.

Corporal punishment was used.

“On an unknown date, a staff member hit a child on the buttocks when the child did not comply with a directive to remain on a cot.”

Rule Corporal punishment was used.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 15, 2023. Correction verified: by a letter from the provider.

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.

“One (1) child did not have an off-premise permission on file.”

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: Nov 20, 2023. 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. Four (4) employees did not have current CPR training.”

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: Dec 7, 2023. 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. Four (4) staff did not have current First Aid training on file.”

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: Dec 7, 2023. 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 with a diagnosed allergy did not have a medical action plan completed.”

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: Nov 20, 2023. Correction verified: by a letter from the provider.

Application for enrollment did not include all required information.

“One (1) child did not have all the information completed on the application.”

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: Nov 20, 2023. 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.

“Three (3) employees did not receive orientation on all required topics in the first two weeks of employment. The assistant administrator corrected the missing data from the documentation of orientation worksheet during the visit.”

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

Emergency information did not name child’s health care professional.

“One (1) child’s emergency information did not include the health care professional.”

Rule Emergency information did not name child's health care professional.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 20, 2023. Correction verified: by a letter from the provider.

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

“Books in Spaces 4, 5, and 7 were observed torn and in poor repair.”

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: Nov 17, 2023. 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.

“Three (3) employees did not have a total of 16 hours of training within the first 6 weeks of employment. The assistant administrator corrected the missing data from the documentation of orientation worksheets during the visit.”

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

Parent’s medication authorization did not include required information.

“A child’s permission for Benadryl expired in May 2023.”

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: Nov 20, 2023. 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.

“The date of enrollment was not listed on the signed discipline policy in six (6) children’s files.”

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: Nov 20, 2023. 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.

“Plastic bags were observed in a child’s cubby in Space 5.”

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 1, 2023. Correction verified: by a letter from the provider.