The Nest at Charlotte Latin School

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

“In space #1 and #3, there was a bottle of Benadryl stored in a clear bag that was not in locked storage.”

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

“An infant in space #1 was asleep. It was documented that the infant was placed in the crib at 9:15AM however, a visual check was not completed until 9:37AM while I was in the classroom.”

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.

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

“The wood boarder at the base of top of the slide and boarders around the garden beds had paint that was chipping.”

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 20, 2025. Correction verified: by a letter from the provider.

The EPR Plan did not include evacuation diagrams showing how the staff, children, and any other individuals who may be present will evacuate during an emergency.

“Evacuation diagrams were not included in the EPR plan.”

Rule The EPR Plan did not include evacuation diagrams showing how the staff, children, and any other individuals who may be present will evacuate during an emergency.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 20, 2025. Correction verified: by a letter from the provider.

All children were not held or placed in feeding chairs or other appropriate apparatus to be fed.

“An infant was placed on a boppy while eating a bottle.”

Rule All children were not held or placed in feeding chairs or other appropriate apparatus to be fed.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 5, 2024. Correction verified: by a letter from the provider.

Each infant was not served only bottles labeled with their individual name.

“A child in the infant room was fed another child’s bottle.”

Rule Each infant was not served only bottles labeled with their individual name.. Corrected during the inspection.

A drug or medicine was administered after its expiration date.

“One sunscreen was observed in Space 3; the sunscreen expired 4/24.”

Rule A drug or medicine was administered after its expiration date.. 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. You have not reviewed the EPR plan with the substitute, she has been subbing since 2020.”

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: Sep 16, 2024. Correction verified: by a letter from the provider.

Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan.

“The substitute that has been employed since 2020, has not had an annual review or had a staff development plan.”

Rule Each employee's personnel file did not contain an annual staff evaluation and a staff development plan.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 16, 2024. Correction verified: by a letter from the provider.

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

“One Benadryl on site, for a child with a medical condition requiring the medication when needed, does not have written permission from his physician. The child is 4 years old and the Benadryl instructions states 2-5 years do not use unless directed by a doctor.”

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: Sep 16, 2024. Correction verified: by a letter from the provider.

Outdoor play area was not enclosed by fence with a minimum height of 4 feet.

“The top of the fence, less than six feet, was not free from protrusions. The chain link fencing measures 3’6” behind the hill slide, on the preschool playground.”

Rule Outdoor play area was not enclosed by fence with a minimum height of 4 feet.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 16, 2024. Correction verified: by a letter from the provider.

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

“You have not reviewed the EMC plan with the substitute annual, she has been subbing since 2020.”

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: Sep 16, 2024. Correction verified: by a letter from the provider.