Tutor Time Childcare Learning Center

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

“A staff member was overheard sharing the following statements to children: Yelling at children making the statement of I can’t wait till parents pick them up, they deserve to be spanked and whooped, Yelling at children, pointing broom at their faces, Yelling at children if you hit another kid, I will hit you.”

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: Jul 13, 2026. Correction verified: at a follow-up visit by DCDEE.

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

“There were two (2) staff members who did not have a criminal background letter prior to employment, F.B and L.H.”

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: Jul 13, 2026. Correction verified: at a follow-up visit by DCDEE.

Children were not adequately supervised at all times.

“A 2-year-old child in space #5 had one (1) injury of which was not observed during outdoor play from the child’s teachers.”

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: Jul 13, 2026. Correction verified: at a follow-up visit by DCDEE.

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 not created when children were injured on two (2) occasions.”

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 13, 2026. Correction verified: at a follow-up visit by DCDEE.

Prior to employment a Criminal Background Check was not completed.

“There were two (2) staff members who did not have a criminal background letter prior to employment, F.B and L.H.”

Rule Prior to employment a Criminal Background Check was not completed.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 13, 2026. Correction verified: at a follow-up visit by DCDEE.

The depth of the loose surfacing was not based on critical height of the equipment.

“The mulch on playgrounds did not meet the required six (6) inches of depth.”

Rule The depth of the loose surfacing was not based on critical height of the equipment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 7, 2026. 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 (lesson plan) was not posted for space #4, #6, #10 and #11.”

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: May 19, 2026. Correction verified: by a letter from the provider.

A drug or medication was administered without written authorization and/or instructions from a child’s parent or authorized health professional.

“In space #3, #4 and #6, topical ointments did not have written permission forms. In space #6, four (4) emergency medications did not have updated medical permission forms.”

Rule A drug or medication was administered without written authorization and/or instructions from a child's parent 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: May 19, 2026. Correction verified: by a letter from the provider.

A drug or medicine was administered after its expiration date.

“In space #6, I observed an expired EPI pen. In space #4, I observed an expired topical ointment (diaper cream).”

Rule A drug or medicine was administered after its expiration date.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 19, 2026. Correction verified: by a letter from the provider.

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

“A.M did not have a qualification letter on file. K. B did not have a qualification letter on file.”

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: Jul 13, 2026. Correction verified: at a follow-up visit by DCDEE.

All equipment and furnishings were not in good repair.

“In space #4, several books were in need of replacement or repair.”

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: May 19, 2026. Correction verified: by a letter from the provider.

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

“Two (2) staff did not have an annual 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: Aug 3, 2026. Correction verified: by a letter from the provider.

Application did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns.

“Four (4) files did not have the health care needs section completed.”

Rule Application did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 19, 2026. Correction verified: by a letter from the provider.

Application for employment and date of birth was not on file for all staff.

“One (1) staff file did not have an application for employment on file.”

Rule Application for employment and date of birth was not on file for all staff.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 13, 2026. Correction verified: at a follow-up visit by DCDEE.

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.

“Sleep charts for one (1) child were not maintained for a month.”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 19, 2026. 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) staff 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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 13, 2026. Correction verified: at a follow-up visit by DCDEE.

Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually.

“Two (2) staff did not have an annual emergency information form on file.”

Rule Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 3, 2026. Correction verified: by a letter from the provider.

Diaper changing surfaces were not kept free of storage.

“In space #6, the diaper changing table surface had materials stored on top.”

Rule Diaper changing surfaces were not kept free of storage.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 19, 2026. Correction verified: by a letter from the provider.

Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission.

“Four (4) files did not have immunization records within 30 days of enrollment.”

Rule Each child was not immunized as per Article 6 of Chapter 130A and an immunization 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: May 19, 2026. 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 individually assigned nor identified in space #5, #6 and #7.”

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 19, 2026. Correction verified: by a letter from the provider.

Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies.

“One (1) file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies.”

Rule Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 13, 2026. Correction verified: at a follow-up visit by DCDEE.

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

“One (1) staff file did not have an annual staff evaluation on file.”

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: Aug 3, 2026. 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.

“Two (2) staff did not have 6 hours of orientation within the 1st 2 weeks on file.”

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 13, 2026. Correction verified: at a follow-up visit by DCDEE.

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.

“Nine (9) files did not have annual updates.”

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 19, 2026. Correction verified: by a letter from the provider.

Fire drills were not practiced monthly and/or the drill record was incomplete.

“Monthly fire drill records were not accessible.”

Rule Fire drills were not practiced monthly 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: May 19, 2026. Correction verified: by a letter from the provider.

For routine transport of children to and from the center, staff did not have a list of the children being transported.

“A roster was not available for the children being transported.”

Rule For routine transport of children to and from the center, staff did not have a list of the children being transported.. Corrected during the inspection.

Four of the five activity area(s): art/creative play, children’s books, blocks/block building, manipulatives, family living/dramatic play was not available daily.

“In space #5 and #6, sufficient materials were not available for children to engage in 4 out of the 5 activity areas.”

Rule Four of the five activity area(s): art/creative play, children’s books, blocks/block building, manipulatives, family living/dramatic play was not available daily.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 19, 2026. Correction verified: by a letter from the provider.

Incident logs were not completed and maintained as required.

“Incident logs were not recorded as required, the last date logged was from 1/2026.”

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: May 19, 2026. 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.

“Four (4) files did not have a medical exam or health assessment on file within thirty (30) days of enrollment.”

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: May 19, 2026. 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.

“A current menu for meals and snacks was not posted the menu was dated for the week of 4/13/26.”

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

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

“The last playground inspection that was completed and on file was dated for 2/4/26. It was reported that current information could not be located.”

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: May 19, 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) staff did not have 16 hours of orientation within the 1st 6 weeks on file.”

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 13, 2026. Correction verified: at a follow-up visit by DCDEE.

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) staff did not have a TB test/screening 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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 13, 2026. Correction verified: at a follow-up visit by DCDEE.

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 program’s last fire inspection on file with DCDEE was completed on 1/28/25. It was reported that current information could not be located. This annual inspection was due 1/28/26.”

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: May 29, 2026. Correction verified: at a follow-up visit by DCDEE.

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).

“A.M. did not have a current qualification letter.”

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: Jul 13, 2026. Correction verified: at a follow-up visit by DCDEE.

Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory.

“In space #6, paper towels were not available.”

Rule Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory.. Corrected during the inspection.

Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.

“Emergency drill records were not accessible.”

Rule Shelter-in-place or lockdown drills were not practiced every three months and/or 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: May 19, 2026. Correction verified: by a letter from the provider.

Staff required to receive on-going training had not completed the required number of hours according to their education and experience.

“One (1) staff did not have required number of ongoing training hours completed.”

Rule Staff required to receive on-going training had not completed the required number of hours according to their education and experience.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 13, 2026. Correction verified: at a follow-up visit by DCDEE.

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

“Three (3) staff had not reviewed the EMC plan annually or whenever the plan was revised.”

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: Jul 13, 2026. Correction verified: at a follow-up visit by DCDEE.

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.

“Three (3) medical action plans were not updated annually.”

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: May 19, 2026. Correction verified: by a letter from the provider.

The professional development plan was not reviewed annually.

“One (1) staff file did not have a professional development plan reviewed annually.”

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: Aug 3, 2026. 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.

“One (1) staff did not review the EPR Plan annually or when information in the plan changed.”

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: Aug 3, 2026. Correction verified: by a letter from the provider.

Children were not adequately supervised at all times.

“A 2-year-old child was left unattended on the playground for approximately five (5) minutes.”

Rule Children were not adequately supervised at all times.. Corrected during the inspection.

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

“Enhanced ratios are not being maintained at all times. Group sizes are not being maintained at all times.”

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: May 11, 2026. Correction verified: at a follow-up visit by DCDEE.

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 on 3/27/26.”

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: May 11, 2026. Correction verified: at a follow-up visit by DCDEE.

At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care.

“The teacher in space #2, did not have an ITS-SIDS certificate.”

Rule At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care.. Corrected during the inspection.

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

“On 5/2/25, a two-year-old child was given an allergen.”

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: May 30, 2025. Correction verified: by a letter from the provider.

A drug or medicine was administered after its expiration date.

“In space #3, I observed an expired diaper cream.”

Rule A drug or medicine was administered after its expiration date.. 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.

“I observed three (3) cans of paint in an unlocked closet.”

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.

“In space #8, I observed the blue wall with a large section peeled.”

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

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

“Certificates for trainings taken were not available for review in each staff file.”

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

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

“Two (2) staff did not have updated annual staff development plans.”

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: May 20, 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.

“An incident report did not include all information required , a signature was not obtained from the parent.”

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

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

“In space #1, the refrigerator read fifty-two (52) degrees. In space #2, the refrigerator read fifty (50) degrees.”

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

Screen time was offered to children under three years of age.

“In space #6, I observed children who were two-years old engaged in a screen activity.”

Rule Screen time was offered to children under three years of age.. Corrected during the inspection.

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

“One (1) staff file did not complete the health and safety trainings within one year of employment.”

Rule Staff did not complete the health and safety training within one year of employment.. Corrected during the inspection.

The EPR Plan did not include the date of the last revision of the plan.

“The date of the last revision plan was in 2018.”

Rule The EPR Plan did not include the date of the last revision of the plan.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 25, 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.

“Three (3) MAP’s were reviewed, information was missing from the forms and not completed entirely.”

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

Children were left in a vehicle unattended by an adult.

“On 1/21/25 a seven-year-old child was left unattended on a bus for about twenty (20) minutes”

Rule Children were left in a vehicle unattended by an adult.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 25, 2025. Correction verified: at a follow-up visit by DCDEE.

Rule violated (DCDEE’s description below)

Rule Rule violated (DCDEE’s description below). Corrected during the inspection.

School-aged children were not adequately supervised.

“On 1/21/25 a seven-year-old child was left unsupervised and unattended on a bus for about twenty (20) minutes.”

Rule School-aged children were not adequately supervised.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 25, 2025. Correction verified: at a follow-up visit by DCDEE.

All equipment and furnishings were not in good repair.

“In space #4 and #5, I observed several books that were ripped and in many pieces. In space #11, I observed shelving in the dramatic center in need of cleaning due to buildup, there was also a purse with leather peeling. I observed trash and water bottles in the bus used for transportation.”

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: Dec 17, 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.

“In space #11, I observed the bottom of the door panels with heavy water damage.”

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 17, 2024. Correction verified: by a letter from the provider.

An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required.

“An incident report requirement medical attention on 11/20/24 was not sent to DCDEE within seven (7) days.”

Rule An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required.. Corrected during the inspection.

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

“In space #10, a staff member used a harsh tone and delivery when trying to redirect children.”

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: Dec 17, 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.

“In space #9, I observed an outlet without a cover.”

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.

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.

“One (1) child did not have a photo attached to their 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.. Corrected during the inspection.

Lavatories were not kept clean, in good repair and kept free of storage.

“In space #8 and #11, sinks were dirty.”

Rule Lavatories were not kept clean, in good repair and kept free of storage.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 17, 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.

“In space #5 and #6 I observed plastic bags accessible to children under three.”

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.

Toilet fixtures were not cleaned and disinfected at least daily and when visibly soiled.

“In space #8, I observed a toilet with heavy residue inside, the other toilet was visibly soiled.”

Rule Toilet fixtures were not cleaned and disinfected at least daily and when visibly soiled.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 17, 2024. Correction verified: by a letter from the provider.

When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review.

“In space #9, screen time was not documented.”

Rule When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 17, 2024. Correction verified: by a letter from the provider.

When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information.

“I observed two (2) prescribed diaper creams with topical ointment permission forms.”

Rule When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 17, 2024. Correction verified: by a letter from the provider.

Minimum staff/child ratios and group sizes for the number and ages of children in care were not met.

“On August 7, 2024, a classroom of sixteen two year children was out of ratio for less than approximately thirty seconds when a staff member stepped out of the classroom leaving only one staff member with the children.”

Rule Minimum staff/child ratios and group sizes for the number and ages of children in care were not met.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 23, 2024. Correction verified: by a letter from the provider.

Application for enrollment did not include all required information.

“The Health Care Needs section of four (4) children’s applications were left blank or not completed to their entirety.”

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: May 21, 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.

“Two (2) outlets in the hallway next to space #8 had outlets that you could see straight through and had no resistant films nor outlet covers.”

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.

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 program’s last fire inspection on file with DCDEE was completed on 2/3/23. I received an updated fire inspection report that was completed on 2/6/24 during the visit.”

Rule Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection.. 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).

“A. S did not have a current qualification letter on file.”

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).. Corrected during the inspection.

A drug or medicine was administered after its expiration date.

“I observed two (2) expired ointments in space #2.”

Rule A drug or medicine was administered after its expiration date.. 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.

“I observed a bag of “ice melt” in an opened storage closet beside the infant classroom.”

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.

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

“I observed children’s cots not labeled in space #4.”

Rule Each child's bed, cot, or 2" mat was not individually assigned and identified.. Corrected during the inspection.

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.

“One (1) child did not have their photograph included on their emergency 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.. Corrected during the inspection.

For routine transport of children to and from the center, staff did not use the list to document attendance as children boarded and departed the vehicle.

“Transportation rosters were not available for review for the months of October and November 2023.”

Rule For routine transport of children to and from the center, staff did not use the list to document attendance as children boarded and departed the vehicle.. Corrected during the inspection.

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

“I observed topical ointments in space #1, stored below five (5) feet in an unlocked cabinet.”

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

The center did not maintain records as required in rule, and/or were not made available to the Division for review.

“The summary of the law, first aid poster, and arrival and departure posters were not posted.”

Rule The center did not maintain records as required in rule, and/or were not made available to the Division for review.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 15, 2023. Correction verified: by a letter from the provider.

The depth of the loose surfacing was not based on critical height of the equipment.

“The mulch depth on the playgrounds did not meet the six (6) inch depth requirement.”

Rule The depth of the loose surfacing was not based on critical height of the equipment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 15, 2023. Correction verified: by a letter from the provider.

The operator did not maintain the manufacturer’s instructions on file electronically or in paper format for any outdoor play structures purchased or installed on or after September 1, 2017.

“Manufacturer’s instructions for the new playground equipment installed on 8/7/23 were not on file.”

Rule The operator did not maintain the manufacturer's instructions on file electronically or in paper format for any outdoor play structures purchased or installed on or after September 1, 2017.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 15, 2023. Correction verified: by a letter from the provider.