Howard Levine Child Development Center

A summary of the NC Child Care Law was not posted in a prominent place in the center.

“There was no evidence of this requirement in the lobby.”

Rule A summary of the NC Child Care Law was not posted in a prominent place in the center.. Corrected during the inspection.

Center did not maintain a record of daily attendance.

“There were nine children in the room and only eight children counted on the attendance sheet.”

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

Children were not adequately supervised at all times.

“On April 13, child was left on the playground, unsupervised.”

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

Children were not adequately supervised at all times.

“Child left classroom.”

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: May 14, 2026. Correction verified: at a follow-up visit by DCDEE.

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

“Staff pushed a child that came up to her with what appeared to be a juice box.”

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

A child was restrained as a form of discipline.

“Per surveillance video child was escorted into the classroom by another teacher. Child ran into the classroom and the other teacher walked out of the classroom. Teacher grabbed the child, the child tried to get away and the staff placed her body weight on him trying to restrain him from running.”

Rule A child was restrained as a form of discipline.. Corrected during the inspection.

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

“The posted schedule was from the summer and did no reflect the current wrap-around afternoon care.”

Rule A current schedule 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: Nov 13, 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 space147 and space 133 had chipped paint or missing paint on the walls. (posters were placed over the areas).”

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

“Three children’s files did not have the MAP attached to the application or in the facility.”

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: Nov 13, 2025. Correction verified: by a letter from the provider.

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

“Fire drill was completed on 7/17/25 and the most recent was conducted on 10/15/25.”

Rule Fire drills were not practiced monthly and/or the drill record was incomplete.. Corrected during the inspection.

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.

“In space 140 there were three cups that did not have a name and date (including a staff cup).”

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.

Menus for all meals and snacks were not current or posted where easily seen by parents and cook.

“Snack posted was pretzels and children were served Friday’s snack of yogurt.”

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

Rule violated (DCDEE’s description below)

“A current activity plan was not posted for each group of children for reference. the posted plan was from the summer and did not reflect the current wrap-around afternoon care.”

Rule Rule violated (DCDEE’s description below). Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 13, 2025. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“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 did not have a completed medical /health assessment on file.”

Rule Rule violated (DCDEE’s description below). Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 13, 2025. Correction verified: by a letter from the provider.

Children were not adequately supervised at all times.

“On September 8, 2025, a staff member was unaware a one-year-old child left the classroom for approximately fifteen 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 26, 2025. Correction verified: by a letter from the provider.

Corporal punishment was used.

“On September 4, 2025, a staff member popped a one-year-old child on the bottom.”

Rule Corporal punishment was used.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 16, 2025. Correction verified: by a letter from the provider.

When combining age groups, the staff/child ratios for the youngest child in the group was not maintained for the entire group.

“On September 8, 2025, a classroom for infant children was out of ratio for approximately fifteen minutes.”

Rule When combining age groups, the staff/child ratios for the youngest child in the group was not maintained for the entire group.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 26, 2025. Correction verified: by a letter from the provider.

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

“Room 135 and 141 did not have a current plan posted, week of May 16, May 19.”

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

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

“In two classrooms several cots measured at 1 inch, 14 inches or less.”

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.

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.

“There was an uncovered electrical outlet on the wall near the circle time area in room 110.”

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.. 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.

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

“Room 133 and 147 had chairs in dramatic play and cozy area that the vinyl was peeling off.”

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: Jun 9, 2025. Correction verified: by a letter from the provider.

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

“There was a trash can with no lid, hanging window blinds in space 125, wasp nest on toddler playground and chipping paint that is starting to peel in space 149.”

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: Nov 12, 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.

“(omit posting for centers located in a residence). When children transitioned to older toddler room, the feeding chart was not received or posted by the teacher.”

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.

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.

“Childs application (D.) stated that the child had nut allergies, however there was no M.A.P. available for review.”

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.. Corrected during the inspection.

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

“Trash can in room 143 (twos/three year olds) did not have a cover, on the preschool playground there was a broken sand and water table.”

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: Nov 12, 2024. 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.

“Child’s homemade diaper cream was not labeled with the content of the container and stored in an sorbet container.”

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

Parent’s medication authorization did not include required information.

“In room 133, Medication form date was expired, room 133 (7/14/24, D.C., room 135 (6/20/24, K.”

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

Rule violated (DCDEE’s description below)

“Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. two backpacks that came to school with children had sunscreen, diaper cream, cough/cold medicine, and hair moisturizer.”

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

Rule violated (DCDEE’s description below)

“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. two children did not have the required updated information.”

Rule Rule violated (DCDEE’s description below). Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 12, 2024. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“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. room 110: donut holes and coffee were on the counter and belonged to a teacher.)”

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

The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment.

“Several staff did not have these trainings within the requirement. (A.C., J.P.,J.B,) L.R. was not on file”

Rule The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 28, 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.

“(omit posting for centers located in a residence), children in infant class two that were over twelve months of age did not have their feeding plans posted.”

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.

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.

“N.G and M.D did not have medical action plans with the application.”

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: Nov 27, 2023. Correction verified: by a letter from the provider.

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

“There was an surge protector in space 108 near the group time area that did not have outlet covers.”

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

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

“Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Facility has not received a fire inspection for 2023.”

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: Nov 27, 2023. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“L.B. infant 1, had a date of 10/24/23-10/24/23 for authorization.”

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: Nov 27, 2023. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. the following children did not meet the requirement, the health assessment was older that a year, or was not on file: Q.R., M.D., M.W.,N.G.and Z.M., C.B. was missing the last page of the health assessment that would have the physicians signature notating it was completed.”

Rule Rule violated (DCDEE’s description below). Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 27, 2023. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“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 133, there was an trashcan with no lid and the plastic liner was exposed, space140: thee was a plastic bag with clothing in it and a plastic wrapper in the block area, Space 141 and an infant class: there was a cabinet with diapers in a plastic bag, space 147 there were plastic bags in the children cubbies.”

Rule Rule violated (DCDEE’s description below). Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 27, 2023. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“Individual applications were not on file for each child. application was not on file for a child. See children’s record.”

Rule Rule violated (DCDEE’s description below). Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 27, 2023. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“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. there were three children files that were observed to not be updated annually, and another child did not have a file at all.”

Rule Rule violated (DCDEE’s description below). Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 27, 2023. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“Medical authorization was not present on child’s first day. one child did not have the required information.”

Rule Rule violated (DCDEE’s description below). Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 27, 2023. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“Medical exam or health assessment record was not on file before or within 30 days after admission. there was no medical file to be located for a child. C.B. was enrolled on 9/1/23 and there is no assessment on file and was not completed by a physician.”

Rule Rule violated (DCDEE’s description below). Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 27, 2023. Correction verified: by a letter from the provider.

The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment.

“Several staff did not meet this requirement of having this within the 90 days of employment at a new facility.”

Rule The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 27, 2023. Correction verified: by a letter from the provider.

The health assessment did not include updated immunizations.

“The following children did not have updated immunizations on file: C.B., M. B.”

Rule The health assessment did not include updated immunizations.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 27, 2023. Correction verified: by a letter from the provider.