Cranfield Academy Providence

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

“An infant nine months of age was fed another infant’s bottle which contained formula on May 18, 2026.”

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

A drug or medicine was administered in a manner not authorized by the child’s parent, physician or other authorized health professional.

“In space #4, there was Benadryl cream and cortisone cream present for two children one year of age with authorization from the parent. The directions on both read “children under two years of age, ask a doctor”.”

Rule A drug or medicine was administered in a manner not authorized by the child's parent, physician or other authorized health professional.. 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.

“The key to the kitchen door was in the lock with no one present in the kitchen. In space #7, the key to door was in the lock. A staff member’s purse was stored in the closet and was less than five feet above the floor. In space #7, there was a bottle of colored sand located on top of a shelf. The bottle read “not for children under three years of age”. The children enrolled in space #7 are all two years of age.”

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 did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages.

“In space #1, a child’s hands were not washed after a diaper change.”

Rule Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages.. 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.

Children’s records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child.

“One child had a medical report on file completed by a physician however, the top portion was not completed by a parent.”

Rule Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child.. 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.

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.

“Ten children did not have verification on file that emergency medical care information had been updated annually or as changes occurred.”

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: Dec 4, 2025. Correction verified: by a letter from the provider.

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

“In space #3, there were two diapers creams present that were not labeled with either child’s name. In space #4, there was diaper cream present for one child that was not labeled with the child’s name. In space #5, there were also two diaper creams present that were not labeled with either child’s name.”

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

The activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group of children in care.

“Review of activity plans indicated that the NC Foundations for Early Learning and Development is not being used in conjunction with the curriculum.”

Rule The activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group 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 4, 2025. Correction verified: by a letter from the provider.

A violation was found for which there is no item number.

Rule A violation was found for which there is no item number.. Corrected during the inspection.

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

“In space #1, an infant was placed in a crib that was not labeled with their name.”

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

Center staff did not comply with the safe sleep policy.

“In space #1, an infant was not placed in a crib after falling asleep. The teacher reported and documented the infant fell asleep at 9:05. I observed the infant in a seat asleep at 9:20.”

Rule Center staff did not comply with the safe sleep policy.. Corrected during the inspection.

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

“Cots throughout the building were observed in poor repair. The plasitc legs on the bottom of the cots were broken and cracked. A tricyle on the preschool playground was missing a seat.”

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

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

“On July 9, 2024 an infant was fed the wrong bottle, the bottle contained breast milk and the infant consumed 5 ounces.”

Rule Each infant was not served only bottles labeled with their individual name.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 20, 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 staff hired 4-9-24 did not have the orientation document completed and signed, proving the staff received 16 hours of orientation within the first 6 weeks of hire.”

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: May 20, 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 staff completed recognizing and responding last on 1/25/19 and did not complete it again by 1/25/24.”

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.. Corrected during the inspection.

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

“Outdoors on the preschool playground I observed a tripping hazards where the matted surfacing is coming up from the ground causing a tripping hazard; it has been noted on the monthly playground inspections for the last three months with no correction.”

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: Dec 18, 2023. Correction verified: by a letter from the provider.

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.

“While in Space 7, I observed a used Mr. Clean cleaning sponge on the counter.”

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.

Bed, cribs, playpens, cots or mats were not placed at least 18” apart or separated by partitions when in use.

“During nap time cots were not spaced at least 18” apart in space 4. I observed one cot laying up against the base of another cot.”

Rule Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use.. Corrected during the inspection.

Breast milk, formula and other bottled beverages including sippy cups, sent from child’s home were not fully prepared, dated, and labeled for the appropriate child.

“While in Space 1 I observed one child’s bottles dated 12/4-12/8 and one child’s bottles dated 12/5.”

Rule Breast milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 18, 2023. Correction verified: by a letter from the provider.

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

“While in Space 3 I observed a soft block that was in poor repair, the corners had come unraveled. Space 4, books were observed in poor repair (missing covers, missing or torn pages), Space 8 a teacher chair was observed cracked and a storage bucket was observed cracked. Space 9. The dramatic play refrigerator/sink is missing one side of the refrigerator door.”

Rule Equipment and furnishings were not sturdy, stable and free of hazards.. Corrected during the inspection.

Parent’s medication authorization did not include required information.

“Space 4 serves children one year of age, one child has written permission from the parent to administer cortisone cream for a rash, the cream states not to use on children under 2, and most consult a doctor, it also states not to use for diaper rash without consulting a doctor. In Space 6, serving two year olds, a medical action plan a physician completed states to provide 2.5 ml of Benadryl medication for allergic reaction, the parent’s permission states to provide 4 ml of Benadryl.”

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: Dec 18, 2023. Correction verified: by a letter from the provider.

Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional.

“An epi pen in space 5, needed for a child in care, does not have a pharmacy label.”

Rule Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician 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: Dec 18, 2023. Correction verified: by a letter from the provider.

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

“Space 3 refrigerator thermometer read 48 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: Dec 18, 2023. Correction verified: by a letter from the provider.

Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty.

“The low storage shelves in the infant rooms, Space 1 and Space 2, were observed with dirt build up.”

Rule Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 18, 2023. Correction verified: by a letter from the provider.

Children were not adequately supervised at all times.

“On Monday, November 13, 2023 a two year old was left unattended inside the fenced in playground, for 18 minutes, when her class transitioned inside from outdoor play. Staff were not aware until the child was brought back to the classroom.”

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

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

“On 8-18-23 a child tripped on the playground in the morning, in the afternoon the staff observed the child limping and told the parent, the incident report was signed on 8-21-23. The parent informed the teacher the child was seen by a doctor and an x-ray was taken and the child was fine, the signed incident report was not submitted to the DCDEE Child Care Consultant within 7 days of the receiving the medical treatment and the center staff being notified.”

Rule An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 21, 2023. Correction verified: at a follow-up visit by DCDEE.

Discipline was related to food, rest or toileting.

“About a month ago preschool staff used raisins to reward children who listened to directives. They also used raisins to reward children who used the potty while potty training.”

Rule Discipline was related to food, rest or toileting.. Corrected during the inspection.

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.

“A child had a bruise across the bridge of his nose and the parent informed the teachers that their child stated it happened at school when the child jumped off a table, she did not receive and incident report.”

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: Nov 21, 2023. Correction verified: at a follow-up visit by DCDEE.