The Goddard School at Mallard Creek

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

“On October 13, 2026 an incident was observed involving a teacher tossing a shoe in the direction of two one-year-old children present in a classroom.”

Rule Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs.. 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 Spaces Six (6), Seven (7) and Nine (9) chipped paint was observed visible on the walls accessible to children.”

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: Sep 10, 2026. Correction verified: by a letter from the provider.

Application for enrollment did not include all required information.

“Twelve (12) children’s files were monitored today. It was observed that seven (7) children had applications on file that did not include all the required information.”

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: Sep 10, 2026. Correction verified: by a letter from the provider.

Documentation of staff’s education, training, and experience was not on file.

“Eight (8) new staff and two (2) veteran staff files were monitored today. It was observed that three (3) recently hired staff members had applications on file that had not been completed in their entirety including a signature.”

Rule Documentation of staff's education, training, and experience was not on file.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 10, 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.

“Eight (8) new staff and two (2) veteran staff files were monitored today. It was observed that one (1) new staff member hired in June 2026 also did not have a signed acknowledgement on file for having reviewed the program’s operational policies/procedures.”

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: Sep 10, 2026. Correction verified: by a letter from the provider.

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

“In the outdoor learning environment utilized by young children including Infants, Toddlers and Two Year Olds a piece of stationary equipment that utilizes magnets for strengthening fine motor skills was observed to have visible rusting”

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: Sep 10, 2026. Correction verified: by a letter from the provider.

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

“Both Emergency and over-the-counter medication was monitored. It was observed that one (1) child requiring emergency medication did not have a current Medical Action Plan on file, as was last completed in July 2025 and had not been updated within twelve months as required.”

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 10, 2026. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“Both Emergency and over-the-counter medication was monitored. It was observed that seven (7) of the medications monitored had permission to administer forms on file that were incomplete, as they did not include all the required information such as the expiration date of medication and the amount of each dosage.”

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: Sep 10, 2026. 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 Spaces One (1), Two (2) and Three (3) children under three years of age were observed present with access to learning materials that included small parts such as stuffed animals/puppets with hard eyes, stickers and books with thin paper pages that can be easily torn.”

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.

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.

“Eight (8) new staff and two (2) veteran staff files were monitored today. It was observed that one (1) new staff member hired in August 2026 did not have documentation on file for reviewing the facility’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to providing care for children.”

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: Sep 10, 2026. Correction verified: by a letter from the provider.

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

“In Spaces 3, 4, and 8 children were sleeping with blankets covering their heads and faces.”

Rule A safe indoor and outdoor environment was not provided for the children.. Corrected during the inspection.

Children were not adequately supervised at all times.

“A teacher in Space 3 was wearing headphones and using her personal cell phone while one year old children were napping. Repeat violation 5/14/26.”

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: Jun 5, 2026. Correction verified: at a follow-up visit by DCDEE.

Human 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.

“One (1) set of bottles was dated 5/25/26. Repeat violation 5/14/26”

Rule Human 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.. Corrected during the inspection.

A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking.

“Camera footage from 5/13/26 showed a teacher from Space 5 grab a child by the arm and pull the child to the sidewalk. She pushed the child to the ground to sit against the wall of the building. The same teacher grabbed a second child by the arm and turn him back to the sidewalk. She pulled him to the sidewalk and pushed him down to sit against the wall of the building.”

Rule A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 26, 2026. Correction verified: at a follow-up visit by DCDEE.

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

“A teacher in Space 10 was heard threatening a child using a raised voice saying “I’m going to call your daddy if you don’t stop crying.””

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 26, 2026. Correction verified: at a follow-up visit by DCDEE.

An individual written feeding plan was not provided by child’s parent or health care provider or was not followed and posted.

“(omit posting for centers located in a residence. On 5/4/26 an infant did not receive a bottle every 2.5 - 3 hours as instructed on the feeding plan. The last bottle provided to the infant was at 10:37 am and the child was signed out at 4:04 pm that day.”

Rule An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 26, 2026. Correction verified: at a follow-up visit by DCDEE.

Children were not adequately supervised at all times.

“Camera footage of the toddler playground from 5/13/26 was reviewed. Two (2) teachers were observed standing together under the covered play equipment talking. One and two year old children were present on the playground. Two children were observed standing on top of tables opposite of where the teachers were grouped together. Teachers did not supervise children in the assigned positions on the playground and did not actively supervise children as they played.”

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: Jun 5, 2026. Correction verified: at a follow-up visit by DCDEE.

Discipline was not appropriate for the child’s age and development.

“Camera footage of the toddler playground from 5/13/26 was reviewed. A teacher from Space 5 placed two (2) children aged two years old against the wall for “time out” at 4:41 pm. The children sat for five (5) minutes before getting up on their own. The teacher never came back to talk to the children after sitting them against the wall.”

Rule Discipline was not appropriate for the child's age and development.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 26, 2026. Correction verified: at a follow-up visit by DCDEE.

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

“Camera footage of the toddler playground from 5/13/26 was reviewed. A child who was visually impaired was observed using a chair as a push toy. The teacher from Space 5 pulled the chair away from the child which resulted in the child falling forward to the ground. The teacher then put her foot on the chair and leaned down to tie her shoe. After tying her shoe she turned away from the child who reached for the chair and began using it again as a push toy.”

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 26, 2026. Correction verified: by a letter from the provider.

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

“On 2/20/26 an infant was given 4 oz. of another infant’s breast milk.”

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: May 26, 2026. Correction verified: at a follow-up visit by DCDEE.

Human 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.

“It was reported that on 2/20/26 a bottle of breastmilk given to the wrong infant due to the container not being labeled with the child’s name and date.”

Rule Human 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: May 26, 2026. Correction verified: at a follow-up visit by DCDEE.

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

“Children in Space 10 were observed participating in a large group screen time activity. There was one (1) child under three years of age present.”

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

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.

“Screen time was not documented on a screen time log in Space 10.”

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.. 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.

“An aerosol can of room deodorizer was stored in an unlocked cabinet in Space 1.”

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.

An individual written feeding plan was not provided by child’s parent or health care provider or was not followed and posted.

“(omit posting for centers located in a residence). One (1) infant’s feeding plan was not posted in Space 1.”

Rule An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted.. 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.

“Two (2) children under 12 months of age did not have safe sleep checks documented for 9/17/25 in Space 2. Both children were present on 9/17/25.”

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: Oct 2, 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.

“Three (3) children did not have emergency medical care (EMC) information listed on their application and one (1) child’s EMC information expired 1/2/24.”

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: Oct 2, 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 insufficient amounts of materials available for children in Space 11 in the following centers: blocks, home living, science, and art. Two year old children were cared for in Space 11.”

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 2, 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.

“Diapers were stored in plastic bags accessible to children inside individual cubbies in Space 5. Children in Space 5 were two years old.”

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.

“The refrigerator temperature in the kitchen measured 54 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: Oct 2, 2025. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“An infant with a waiver of the requirement that all infants be placed on their backs for sleeping did not have a notice containing the required information posted for quick reference near the infant sleep space and/or confidential medical information was shown on the notice. The notice of an infant’s sleep waiver was not posted above the child’s crib.”

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

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

“A child was observed drinking juice while waiting in line to go outdoors in Space 8. The juice was not 100% juice. A child in Space 3 did not have a signed nutrition opt out form and the facility provided the child with 100% juice for meals and snacks in a cup that measured greater than 6 oz.”

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 2, 2025. 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.

“The kitchen and laundry room were observed opened and unlocked. Hazardous cleaning and aerosol products 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.

All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair.

“The wall behind children’s tables was observed chipped.”

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: Jul 7, 2025. Correction verified: by a letter from the provider.

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 11 month old in Space 2 did not have safe sleep checks documented. The child was transitioned to Space 2 on 6/16/25 and no safe sleep checks were documented for that day.”

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: Jul 7, 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 2/18/25 did not have a medical statement 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 7, 2025. Correction verified: by a letter from the provider.

Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible.

“Books were observed in poor repair in Space 9. A metal muffin pan used for sorting and a metal cookie sheet used for magnets were observed rusted.”

Rule Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible.. Corrected during the inspection.

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 blocks, manipulatives, or puzzles available for children in Space 4.”

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: Jul 7, 2025. 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 2 for toddler care I observed sticky floors and food on the wall behind where children eat. The wall was observed in poor repair as well. Chairs and tables damaged the wall where they were pushed against the wall. The walls and floor in Space 3 were observed dirty and sticky. The wall behind the changing table had sticky substance splattered across the wall next to the handwashing sink.”

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: May 16, 2025. Correction verified: by a letter from the provider.

Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use.

“The surface underneath the changing pad in Spaces 3 and 4 was dirty.”

Rule Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 16, 2025. Correction verified: by a letter from the provider.

Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible.

“Puzzles were missing pieces and pieces were worn and torn in Space 3 and Space 4. The cardboard blocks in Space 4 were stepped on and smashed.”

Rule Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 16, 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.

“Children 18 - 24 months in Space 4 were playing with small, smooth rocks that posed a choking hazard.”

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.

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.

“In Space 1 and 11 I observed Dunkin Donuts drinks and donuts stored on counters/cabinets. Teachers stated the food belonged to staff.”

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: May 16, 2025. Correction verified: by a letter from the provider.

A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking.

“On 4/1/25, a teacher hit a child on the chest three (3) times and told him not to choke other children. The teacher picked the child up by one (1) arm and lifted him off the ground to move him to another activity center. The teacher grabbed the child by his shirt and told him again not to choke other children.”

Rule A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 2, 2025. Correction verified: at a follow-up visit by DCDEE.

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.

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.

“A child with a specialized health need did not have a medical action plan completed to ensure emergency medication was administered when required.”

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: Oct 3, 2024. Correction verified: by a letter from the provider.

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.

“Safe sleep checks were not documented for a child under 12 months of age in Space 2.”

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: Oct 3, 2024. Correction verified: by a letter from the provider.

Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible.

“Cardboard box blocks were observed in poor repair in Spaces 3, 4, and 8. Books were observed in poor repair in Spaces 4 and 8.”

Rule Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 3, 2024. 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 offered in Spaces 2, 3, and 4 to allow for a range of choices. Materials were stored in closets and out of reach of children.”

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 3, 2024. Correction verified: by a letter from the provider.

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

“A child’s water bottle with a prescribed additive was stored in a cubby, unlocked and below five (5) feet.”

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

Parent’s medication authorization did not include required information.

“Authorization to provide water with a prescribed additive was not completed.”

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: Oct 3, 2024. Correction verified: by a letter from the provider.

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

“The kitchen refrigerator with children’s lunch bags was 48 degrees F.”

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: Oct 3, 2024. 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.

“The EPR plan was last updated in 2022.”

Rule The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current.. Corrected during the inspection.

The written feeding plan was not modified as the child’s needs changed.

“An infant feeding plan for a child under 15 months of age in Space 2 indicated infants bottles only. No bottles were observed in the classroom refrigerator and the teacher stated the child brought meals from home.”

Rule The written feeding plan was not modified as the child's needs changed.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 3, 2024. Correction verified: by a letter from the provider.

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

“Activity plans were stored on iPads. Copies of the plans were not posted in the classroom.”

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: Jun 21, 2024. 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. It was observed that CPR training cards listed American Heart Association BLS training for all staff except two (2) teachers. The training certificate noted infant, child, adult CPR, however the American Heart Association issued card with the QR code did not indicate training included all modules. Therefore, training did not meet requirements”

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: Jun 23, 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. It was observed that First Aid training cards listed American Heart Association BLS training for all staff except two (2) teachers. The training certificate noted infant, child, adult First Aid, however the American Heart Association issued card with the QR code did not indicate training included all modules. Therefore, training did not meet requirements”

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 18, 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.

“Classroom walls were observed with peeling paint and exposed drywall.”

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

Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.

“A child’s emergency medication was not returned to parents after the child disenrolled. It was reported the child had not been in attendance for a week.”

Rule Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 21, 2024. Correction verified: by a letter from the provider.

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

“Permission for an infant’s Aquafor was not completed and available for review.”

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: Jun 21, 2024. Correction verified: by a letter from the provider.

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

“The last shelter-in-place or lockdown drill was 1/9/24. Another drill should have been conducted in April.”

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: Jun 21, 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 in Space 10 was observed using an inappropriate tone and raised voice while pointing her finger at the child while redirecting the child in large group time.”

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: Jun 21, 2024. Correction verified: by a letter from the provider.