Learning Jungle Harris

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

“Based on the staff interview conducted and a review of the documentation previously provided there is evidence of a violation of childcare requirements related to each child not being attended to in a nurturing and appropriate manner, or in keeping with the child’s developmental needs. A staff member admitted grabbing a child by the arm.”

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.

Center administrators and staff did not use the information provided in the application to ensure that each individual child’s needs are met.

“It was observed in Space 4a that a child with a diagnosed chronic medical condition requiring two (2) lifesaving medications only had one (1) medication present and accessible onsite.”

Rule Center administrators and staff did not use the information provided in the application to ensure that each individual child's needs are met.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 16, 2026. Correction verified: by a letter from the provider.

Center did not maintain a record of daily attendance.

“In Space 1, the Infant Classroom, the posted attendance was reviewed. It was observed that although there were five (5) children marked present there were only four (4) children in attendance.”

Rule Center did not maintain a record of daily attendance.. Corrected during the inspection.

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.

“It was observed in Space 1 that an unused electrical outlet located on a wall directly above a crib but less than five (5) feet from the ground was not covered with a safety cover when not in use.”

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.

Parent’s medication authorization did not include required information.

“It was observed in Space 4 that a child with diagnosed, chronic medical condition requiring medication had the medication present but the corresponding Permission to Administer form was not completed with all the required information.”

Rule Parent's medication authorization did not include required information.. Corrected during the inspection.

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

“Program records were monitored for the past twelve (12) months. It was observed that there was a lapse in the required quarterly emergency drills (shelter-in-place/lockdown) as one had been conducted in December of 2025 but the next one was documented to have been completed in May 19, 2026 and not March 2026, as required.”

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

Center staff did not follow the EMC plan.

“During an interview conducted it was shared that a child was observed with a bruise present underneath the eye that had not been visible upon arrival but the program’s administrator was not made aware of the injury.”

Rule Center staff did not follow the EMC plan.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 3, 2026. Correction verified: by a letter from the provider.

Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child’s file.

“During an interview conducted it was shared that a child was observed with a bruise present underneath the eye that had not been visible upon arrival but no incident report was completed for the injury.”

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: Apr 3, 2026. 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.

“In Space #3a, a set of keys were observed being stored in the lock of a classroom closet. Upon opening the closet a bottle of window cleaning solution was observed on the floor, a bottle of hand sanitizer was observed being stored on a shelf less than five feet from the floor and a First Aid kit containing alcohol wipes was observed being stored on a shelf. Each of these were labeled with multiple warnings including “Keep out of the reach of children”.”

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.

Application for enrollment did not include all required information.

“Twelve (12) children’s files were monitored. It was observed that three (3) children did not have completed applications on file including 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: Feb 6, 2026. 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.

“In Space #1 it was shared that five (5) children under twelve months of age are currently enrolled in this classroom. Safe sleep check forms were monitored for these children, and it was observed that safe sleep documentation completed within the past thirty days for two (2) enrolled children did not include the sleep position information.”

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: Sep 30, 2026. Correction verified: at a follow-up visit by DCDEE.

Center administrators and staff did not use the information provided in the application to ensure that each individual child’s needs are met.

“Medication was monitored during today’s visit. In Space #4a it was observed that one enrolled children with a chronic medical conditions requiring life-saving medication had the required medication present but it expired on December 31, 2025.”

Rule Center administrators and staff did not use the information provided in the application to ensure that each individual child's needs are met.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 30, 2026. Correction verified: at a follow-up visit by DCDEE.

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

“Medication was monitored during today’s visit. In Space #4a it was observed that one enrolled children with a chronic medical conditions requiring life-saving medication had the required medication present, but it was not accompanied by a completed permission to administer form.”

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: Jan 30, 2026. Correction verified: at a follow-up visit by DCDEE.

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 both Space #3 and Space #6, classrooms were children two years of age and younger are enrolled, puppets with small hard eyes were observed present being stored in plastic bins and accessible in the Library Center.”

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 EPR Plan did not include the location of the Ready to Go File and or the required information.

“The program’s EPR Plan and Ready to Go File were each monitored. It was observed that ten (10) current staff did not have updated Emergency Information present and four (4) current staff did not have any Emergency Information present in the Ready to Go File, as required.”

Rule The EPR Plan did not include the location of the Ready to Go File and or the required information.. Corrected during the inspection.

Children were not adequately supervised at all times.

“Based on three (3) staff interviews and a review of the information provided in the original self-report documentation there is evidence that a child from the three-year-old classroom was left unattended in the hallway of Building One for no more than five minutes.”

Rule Children were not adequately supervised at all times.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 30, 2025. Correction verified: at a follow-up visit by DCDEE.

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.

“Two (2) new staff members’ files were monitored. It was observed that one new staff member hired on July 14, 2025 did not have a signed and dated statement on file that they received a job description.”

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.. Corrected during the inspection.

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

“Two (2) new staff members’ files were monitored. It was observed that one new staff member hired on July 14, 2025 and has contact with children, did not receive at least 16 hours of orientation within first 6 weeks.”

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: Sep 2, 2025. Correction verified: by a letter from the provider.

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.

“Two (2) new staff members’ files were monitored. It was observed that one new staff member hired on August 18, 2025 did not have completed documentation or a signed acknowledgement with all the required information on file verifying they had reviewed the program’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to providing care with 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.. Corrected during the inspection.

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 #2, the Four-year-old classroom, one (1) electrical outlet located on the wall near the carpeted area was observed not covered with a safety plug when not in use and in Space #3 one (1) unused electrical outlet located on a power-strip protruding from beside a shelf near the entrance of the classroom, along the path of travel, was observed not covered with a safety plug when not in use.”

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.

Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs.

“Lunch consisting of meatballs, mashed potatoes and pineapples were observed being served in Space 1a. The administrator was informed that the meal being served did not comply with the current USDA Meal Pattern guidelines for Children in Child Care Programs, as all required components were not present.”

Rule Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 9, 2025. 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.

“In Space #3, the Two-year-old classroom, Emergency Medication was monitored. It was observed that one child with a documented chronic medical condition had three (3) packets of life-saving medication present but these items were not being stored in the original packaging.”

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: Jun 3, 2025. 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.

“Program records were reviewed and quarterly emergency drills (shelter-in-place/lockdown drills) were monitored. It was observed that the last emergency drill was conducted in February 2025 and another one was required to take in May 2025. However, this did not occur.”

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 3, 2025. 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.

“In Space #3, the Two/Three-year-old classroom, Emergency Medication was monitored. It was observed that one child with a documented chronic medical condition had three packets of life-saving medication present but one packet had expired in October 2024.”

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.. 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 last approved fire inspection on file was conducted was February 22, 2024. This was due to take place either on or before February 21, 2025.”

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: Apr 29, 2025. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“In Space #3, the Two/Three-year-old classroom, Emergency Medication was monitored. It was observed that one child with a documented chronic medical condition had life-saving medication present but the corresponding Permission to Administer form for that medication was incomplete, as it did not include the expiration date of the medication present.”

Rule Parent's medication authorization did not include required information.. Corrected during the inspection.

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 #1, the Infant classroom, one (1) puppet with hard eyes was observed being stored on a shelf near the small carpet area and in Space #6, the Toddler classroom, three (3) stuffed animals with hard eyes and three (3) books with thin, paper pages were observed accessible in the classroom’s Library Center.”

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.

A child’s file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information.

“Nineteen (19) children’s files were monitored today. It was observed that three (3) children did not have a signed and dated acknowledgement of receipt/explanation of the Prevention of the facility’s Shaken Baby Syndrome and Abusive Head Trauma policy.”

Rule A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 12, 2025. Correction verified: by a letter from the provider.

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

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: Feb 12, 2025. Correction verified: by a letter from the provider.

A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center.

“Nineteen (19) children’s files were monitored today. It was observed that four (4) children did not have a parent acknowledgement on file for receipt of the NC Summary of law including both a signature or date.”

Rule A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 12, 2025. Correction verified: by a letter from the provider.

Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit.

“The outdoor learning environment was monitored. The fence surrounding the air conditioning unit was observed latched but not secured with a fastening device making it inaccessible to children.”

Rule Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 12, 2025. Correction verified: by a letter from the provider.

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.

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 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. Seven (7) new staff files were monitored. It was observed that two (2) staff members did not have documentation on file of having successfully completed CPR within the first ninety days of employment, as required.”

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: Feb 6, 2025. 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. Seven (7) new staff files were monitored. It was observed that two (2) staff members did not have documentation on file of having successfully completed First Aid within the first ninety days of employment, as required.”

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: Feb 6, 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 #4 it was observed the wall near the backdoor of classroom adjacent to bathroom had visible signs of wear including dirt and a hole near the bottom border.”

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: Feb 12, 2025. Correction verified: by a letter from the provider.

Baby bottles were not stored to protect from contamination.

“During today’s visit the teacher in Space #1 was also observed conducting mealtime routines with two infants that consisted of providing formula in bottles. The teacher was observed taking the bottles from atop the classroom refrigerator and handling each child’s bottle without engaging in handwashing routines for either herself or the infants both before and after the feedings. The bottles were then observed being placed back atop the refrigerator for instead of being discarded after each feeding was complete.”

Rule Baby bottles were not stored to protect from contamination.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 12, 2025. Correction verified: by a letter from the provider.

Center staff did not follow the EMC plan.

“In Space #6 a child was observed present with two large scratches on his right cheek both below and near his eye. When teachers were asked about the scratches it was shared that an incident had previously occurred, but they had not informed the administrator nor completed an incident report.”

Rule Center staff did not follow the EMC plan.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 12, 2025. Correction verified: by a letter from the provider.

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.

“During today’s visit two (2) infants were observed engaging in mealtime routines without having their hands washed both before and after the feedings.”

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: Feb 12, 2025. 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.

“Seven (7) new staff files were monitored. It was observed that six (6) new staff members did not have a signed and dated statement that they received a job description on file.”

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: Feb 12, 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.

“One (1) veteran staff file was reviewed and it was observed that this staff member had not completed a staff evaluation and a staff development plan annually, as required.”

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: Feb 12, 2025. Correction verified: by a letter from the provider.

Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member’s individual personnel file.

“Seven (7) new staff files were monitored. It was observed that two (2) new staff members medical information was not maintained separately from the staff member’s individual personnel file, as required.”

Rule Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 12, 2025. Correction verified: by a letter from the provider.

Emergency information did not name childs health care professional.

“Nineteen (19) children’s files were monitored today. It was observed that two (2) children did not have completed medical information on file including the responsible party’s choice of health care professional.”

Rule Emergency information did not name childs health care professional.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 12, 2025. Correction verified: by a letter from the provider.

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

“In Space #4 it was observed that the large carpet present in the Block Center was torn along the edge causing the threading to begin to spindle. It was also observed that one of the shelves in the Block Center had visible damage to the bottom panel on its left side.”

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: Feb 12, 2025. Correction verified: by a letter from the provider.

Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served.

“During today’s visit children were observed eating a lunch that consisted of Chicken Alfredo, broccoli, apples, bread and milk. However, on a menu posted near the office it listed Chicken Alfredo, green beans, apples, bread and milk.”

Rule Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 12, 2025. Correction verified: by a letter from the provider.

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

“In Space #3 medication was monitored and it was observed that one child had emergency medication present with a medication authorization form that expired in November 2024.”

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: Feb 12, 2025. Correction verified: by a letter from the provider.

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

“Nineteen (19) children’s files were monitored today. It was observed that four (4) children did not have completed acknowledgments on file for receipt of the facility’s operational policy.”

Rule Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 12, 2025. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“In Space #6 it was observed that one child had topical medication present with an incomplete medication authorization form on file. The medication authorization form did not include complete instructions on how to administer the cream or include the expiration date of the topical medication.”

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: Feb 12, 2025. Correction verified: by a letter from the provider.

Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement.

“Nineteen (19) children’s files were monitored today. It was observed that five (5) children did not have a statement from parents on file regarding the facility’s Discipline policy including the child’s name/date of enrollment.”

Rule Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 12, 2025. Correction verified: by a letter from the provider.

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

“Emergency drills (shelter-in-place and lockdown) were monitored. It was observed that these emergency drills were being conducted at four-month intervals instead of every three months, as required.”

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: Feb 12, 2025. Correction verified: by a letter from the provider.

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

“During today’s visit the teacher in Space #1 was observed conducting mealtime routines without engaging in handwashing routines for both before and after the feedings.”

Rule Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 12, 2025. Correction verified: by a letter from the provider.

The center’s safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily.

“In Space #1 it was observed that the facility’s safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily.”

Rule The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily.. Corrected during the inspection.

The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests.

“The outdoor learning environment was monitored. Several piles of leaves and other debris were observed present in various areas of the Preschool playground and near the walkway near the building. Two broken chairs, a bin containing standing water and other debris were also observed present in the space behind the building and adjacent to the Toddler playground.”

Rule The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 12, 2025. Correction verified: by a letter from the provider.

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

“The outdoor learning environment was monitored. It was observed the rubber mulch surrounding the program’s large play structure was measuring at approximately 2.5 inches while the ASTM installment information sheet documents 4 inches of depth per fall zone installation requirements.”

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: Feb 12, 2025. Correction verified: by a letter from the provider.

The health assessment did not include a hearing screening.

“Nineteen (19) children’s files were monitored today. It was observed that one child enrolled in the NC Pre K program had a health assessment on file that did not include a hearing screening.”

Rule The health assessment did not include a hearing screening.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 12, 2025. Correction verified: by a letter from the provider.

The health assessment did not include a vision screening.

“Nineteen (19) children’s files were monitored today. It was observed that one child enrolled in the NC Pre K program had a health assessment on file that did not include a vision screening.”

Rule The health assessment did not include a vision screening.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 12, 2025. Correction verified: by a letter from the provider.

The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of.

“The outdoor learning environment was monitored. Both standing water and other debris were observed present on the bottom portion of one of the sliding boards attached to the large play structure located on the Preschool playground. This was shared with the administrator, and I inquired if a daily check of the area had been completed prior to children coming into this space. It stated that the daily inspection did not occur today.”

Rule The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 12, 2025. Correction verified: by a letter from the provider.

The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction.

“Nineteen (19) children’s files were monitored today. It was observed that four (4) children did have acknowledgements on file for having received notification of the facility’s smoking/tobacco restriction in writing on file.”

Rule The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 12, 2025. Correction verified: by a letter from the provider.

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

“The Emergency Preparedness and Response Plan was reviewed and found not to contain all updated information, as required and the facility’s Ready to Go File was not available for review during today’s visit.”

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: Feb 12, 2025. Correction verified: by a letter from the provider.

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

“In Space #1 it was observed that five (5) children under fifteen months are currently enrolled. Infant feeding plans were reviewed, and it was observed that one child’s written feeding plan was not modified as the child’s needs changed to reflect their current diet.”

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: Feb 12, 2025. Correction verified: by a letter from the provider.

The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests.

“A large bag of trash was observed being stored outside the back door of a NC Pre-K classroom and there was both overgrown vegetation and other nature related debris present both in a fenced area surrounding one of the facility’s air conditioning unit and the facility’s blacktop area.”

Rule The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 31, 2024. Correction verified: by a letter from the provider.

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

“In Space #2 medication was monitored and it was observed that one child had medication present for a chronic condition and the permission to administer form on file had expired.”

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 9, 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 #1, the Toddler classroom there were four (4) children one year of age present and it was observed that there seven (7) paper blocks with visible tearing being stored on a shelf accessible to children and eight (8) books in poor repair with visible tearing being stored on a shelf in the Library center. It was also observed that eight (8) puppets with small hard eyes were being stored in a basket on the floor in the Library center and accessible to these children.”

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.

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

“Emergency drills (shelter-in-place/lockdown) were reviewed, and it was observed that the last documented emergency drill had been conducted on April 12, 2024 and the next one was due to take place before July 12, 2024 but this did not occur.”

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: Sep 9, 2024. Correction verified: by a letter from the provider.

Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months.

“Four (4) new staff members’ files were monitored. It was observed that three (3) of these staff members did not have a current medical report on file including a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children.”

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: Jun 20, 2024. Correction verified: at a follow-up visit by DCDEE.

Children were not adequately supervised at all times.

“In Space #2 and Space #3 it was observed that children were napping on cots and there were three (3) children present in each classroom with bedding covering their heads.”

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

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

“In Space #1 medication was monitored and it was observed that one child had medication present for a chronic condition and the permission to administer form on file did not include all the required information.”

Rule Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.. Corrected during the inspection.

Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas.

“In Space #1a it was observed that the allergy list posted had not been updated to reflect the children currently enrolled in that classroom.”

Rule Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas.. Corrected during the inspection.

A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center.

“It was observed that one (1) child under twelve months did not have the center’s customized Safe Sleep policy on file.”

Rule A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center.. Corrected during the inspection.

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

“In Space #1 it was observed that the paint was beginning to chip on the wall in two areas accessible to children.”

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: Feb 1, 2024. Correction verified: by a letter from the provider.

A written statement from each child’s parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available.

“It was observed that two (2) children did not have a current permission to travel outside the facility’s fenced area form on file.”

Rule A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available.. Corrected during the inspection.

Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit.

“The outdoor learning environment was monitored. It was observed that the fence surrounding the air conditioning was latched but not secured with a fastening device making it inaccessible to children.”

Rule Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 5, 2024. Correction verified: by a letter from the provider.

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

“In Space #6 it was observed that one child under fifteen months did not have a completed feeding schedule on file.”

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

Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months.

“Five (5) veteran staff files were reviewed using the most current staff and training worksheet and three (3) new staff files were monitored. It was observed that one new staff member hired on November 13, 2023 did not have a completed medical assessment 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: Feb 6, 2024. 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.

“Five (5) veteran staff files were reviewed using the most current staff and training worksheet and three (3) new staff files were monitored. It was observed that one new staff member hired on November 13, 2023 did not have a signed copy of their job description on file.”

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.. Corrected during the inspection.

Electrical cords were accessible to infants and toddlers.

“In Space #1 it was observed that there was also a cord attached to an electronic device observed hanging from a shelf and accessible to children.”

Rule Electrical cords were accessible to infants and toddlers.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 2, 2024. Correction verified: by a letter from the provider.

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 #3 seven (7) two-year-old children were present and a plastic bag was observed stored in a cubby and accessible to children.”

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 outdoor premises were not clean, drained and free of litter and hazardous materials grass and other vegetation in a manner which does not encourage vermin.

“The outdoor learning environment was monitored. It was observed on the Preschool playground that there was an active ant hill present in the grassy area near the gate and an overturn trashcan containing trash and other debris on the walkway near the building. It was also observed that there were three sleeping cots, a plastic storage bin, trash and other debris were observed present in the space behind the building and adjacent to the Toddler playground.”

Rule The outdoor premises were not clean, drained and free of litter and hazardous materials grass and other vegetation in a manner which does not encourage vermin.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 2, 2024. Correction verified: by a letter from the provider.

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

“In Space #1 it was observed that four children under fifteen months did not have feeding schedules that reflected their current needs on file.”

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