Tutor Time Steele Creek

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 information was not updated at least annually for seven (7)children.”

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: May 13, 2026. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“One (1) diaper cream in space four (4) permission to administer had expired.”

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: May 13, 2026. Correction verified: by a letter from the provider.

The professional development plan was not reviewed annually.

“The professional development plan was not reviewed annually for one (1) staff member.”

Rule The professional development plan was not reviewed annually.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 13, 2026. 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 did not include all the information required in rule.”

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: Feb 12, 2026. Correction verified: by a letter from the provider.

Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child.

“Three (3) outlets in space five (5) and two (2) in the Stem room did not have safety plugs in them.”

Rule Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child.. 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.

“A child with an allergy to milk was able to access milk and drink it. A child’s medical action plan was not followed when they had an allergic reaction to milk.”

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: Oct 23, 2025. Correction verified: by a letter from the provider.

The child care provider did not provide the required beverage(s).

“Milk was not served to children during lunch.”

Rule The child care provider did not provide the required beverage(s).. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 23, 2025. 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.

“One (1 staff was observed eating Lays potato chips in the hallway.”

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.

Children were not adequately supervised at all times.

“A two (2) year old child was left alone and unsupervised in a classroom for eight (8) minutes.”

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: Oct 1, 2025. Correction verified: at a follow-up visit by DCDEE.

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 and identifying information, including the child’s photograph was not in the vehicle for each child being 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: Jun 10, 2025. 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 information was not updated annually for two (2) children.”

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: Jun 10, 2025. 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.

“A medical exam was not on file before or within 30 days after admission for one (1) child.”

Rule Medical exam or health assessment record was not on file before or within 30 days after admission.. Corrected during the inspection.

Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child’s file.

“Signed and dated statement by parent that discipline policy received and explained at enrollment was not in one (1) child’s file.”

Rule Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 10, 2025. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child’s developmental needs.Two staff members did not handle a four year old child in an appropriate manner while leading the child from the bathroom and placing the child on a cot, a violation of North Carolina General Statute 110-91(10) regarding the care and treatment of children.”

Rule Rule violated (DCDEE’s description below). Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 12, 2025. Correction verified: by a letter from the provider.

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

“A current activity plan was not posted in space five (5) for reference.”

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

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) staff member’s CPR was renewed after its expiration date.”

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 16, 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) staff member’s first aid training was renewed after its expiration date.”

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

All stationary equipment, more than 18 inches high, was not installed over protective surfacing.

“The depth of the mulch under the climbing structure on the older children’s playground does not meet requirements.”

Rule All stationary equipment, more than 18 inches high, was not installed over protective surfacing.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 16, 2024. Correction verified: by a letter from the provider.

Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child.

“Electrical outlets which were located in space six (6) and seven (7) used by children were not covered with safety plugs and not located behind furniture or equipment that cannot be moved by a child.”

Rule Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child.. 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).

“Prior to the expiration date of the qualification letter, one (1) child care provider did not complete and submit required forms to complete a criminal background check.”

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

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

“On more than on occasion staff/child ratios were not met. The time out of ratio ranged from minutes up to fifteen minutes.”

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: Sep 23, 2024. Correction verified: by a letter from the provider.

A copy of the Prevention of Shaken Baby and Abusive Head Trauma policy was not given to or explained to parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center.

“A copy of the Prevention of Shaken Baby and Abusive Head Trauma policy was not signed by the parent of one (1) enrolled child.”

Rule A copy of the Prevention of Shaken Baby and Abusive Head Trauma policy was not given to or explained to parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 24, 2024. Correction verified: by a letter from the provider.

Before staff members walked children off premises for play or outings, the center did not obtain written permission from the parent of each child.

“Written permission from the parent of one (1) enrolled child was not updated annually.”

Rule Before staff members walked children off premises for play or outings, the center did not obtain written permission from the parent of each child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 24, 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.

“One (1) child care provider did not have a medical report on file.”

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.. Corrected during the inspection.

Documentation of staff’s on-going training was not on file and/or was not current .

“Documentation of three (3) staff’s on-going training was not on file.”

Rule Documentation of staff's on-going training was not on file and/or was not current .. Corrected during the inspection.

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

“There was no documentation that two (2) new staff, who had contact with children , received at least 16 hrs 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: Jun 24, 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.

“On or before the first day of work, two (2) staff’s results indicating that they were free of active TB and/or TB test or screening was not on file.”

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.. Corrected during the inspection.

Operational policies were not discussed with parents on or before the child’s first day and/or they were not notified in writing of all changes.

“Documentation of receipt of operational policies was not on file for one (1) enrolled child.”

Rule Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 24, 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 McDonald’s cup was located on the counter in space six (6).”

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.

Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional.

“Corn starch to be administered was not in an original container.”

Rule Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 5, 2024. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“Medication authorization for Aquaphor and Corn starch did not include how much to administer, and how often to administer.”

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: Jun 5, 2024. Correction verified: by a letter from the provider.

Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items.

“One (1) staff did not wash their hands thoroughly after cleaning a child’s nose, before cleaning a table.”

Rule Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 5, 2024. Correction verified: by a letter from the provider.

Developmentally appropriate equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development.

“There was not a sufficient amount of available toys to provide activities for vigorous play and large muscle development on the toddler playground.”

Rule Developmentally appropriate equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 2, 2024. Correction verified: by a letter from the provider.