Step By Step in Home Daycare

A child care operator did not notify the Division of any new child care providers, as defined in G.S.

“110-90.2(a)(2), who were hired or moved into the child care facility within five business days. An attempt was made to monitor the program’s CBC roster through ABCMS during today’s visit, but there was not one available for review.”

Rule A child care operator did not notify the Division of any new child care providers, as defined in G.S.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 22, 2025. Correction verified: by a letter from the provider.

Infant feeding plans did not include the required information, including but not limited to the type and amount of milk, formula and food, and the frequency of feedings, and/or was not available for reference.

“Individualized feeding plans were monitored, as there is a child under one year of age currently enrolled. It was observed that the child’s individualized feeding plan on file was not signed by the child’s parent/guardian.”

Rule Infant feeding plans did not include the required information, including but not limited to the type and amount of milk, formula and food, and the frequency of feedings, and/or was not available for reference.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 22, 2025. Correction verified: by a letter from the provider.

Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy.

“It was observed that one (1) child did not have a completed acknowledgement form on file for having reviewed the program’s Shaken Baby policy.”

Rule Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 22, 2025. Correction verified: by a letter from the provider.

Operator or other transportation provider did not have written permission from each child’s parents or guardian to transport the child.

“The program is approved to provide transportation. It was observed that one (1) child that is routinely transported did not have current written permission from the child’s parent or guardian to transport the child on file.”

Rule Operator or other transportation provider did not have written permission from each child's parents or guardian to transport the child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 22, 2025. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“A health care professional’s or parent’s waiver of the requirement that all infants be placed on their backs for sleeping did not contain the required information as indicated in rule 10A NCAC 09 .1724(e)(1-3). It was observed that a child under a year of age that is placed to rest in a position other than their back has an Alternative Sleep Position Waiver on file that does not include all the required information or a parent/guardian signature.”

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: Dec 22, 2025. Correction verified: by a letter from the provider.

Written feeding schedule was not on file for each child under 15 months of age and/or was not updated regularly to reflect changes in the child’s needs.

“Individualized feeding plans were monitored, as there is a child under one year of age currently enrolled. It was observed the child’s individualized feeding plan on file had not been updated regularly to reflect changes in the child’s needs.”

Rule Written feeding schedule was not on file for each child under 15 months of age and/or was not updated regularly to reflect changes in the child's needs.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 22, 2025. Correction verified: by a letter from the provider.

All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch.

“The outdoor learning environment was monitored. It was observed that there were two (2) Cozy Coupe Car riding toys present with bolts that contained visible rusting, there was a Little Tykes table present with a damaged tabletop and there was an uncovered Sandbox present filled with standing water containing debris. It was also observed that a broken metal rod was present on the grass near the patio area and accessible to children.”

Rule All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 20, 2024. Correction verified: by a letter from the provider.

Electrical outlets not in use were not covered.

“In the kitchen one unused electrical outlet located at the end of the sink/serving island was observed not covered with a safety plug when not in use. It was also observed that one (1) unused electrical outlet located on the wall near the food preparation in the kitchen was not covered with a safety plug when not in use.”

Rule Electrical outlets not in use were not covered.. Corrected during the inspection.

Incident reports were not complete and maintained in the child’s file and/or were not signed by the person completing it and by the parent.

“The facility’s incident log was monitored and it was observed that incident reports are being stored with the incident log and not being maintained in each child’s file, as required.”

Rule Incident reports were not complete and maintained in the child's file and/or were not signed by the person completing it and by the parent.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 20, 2024. Correction verified: by a letter from the provider.

Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy.

“Four (4) children’s files were reviewed during today’s visit. It was observed that three (3) children did not have completed acknowledgements on file for reviewing the program’s Shaken Baby policy.”

Rule Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 20, 2024. Correction verified: by a letter from the provider.

Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three.

“In the childcare space it was observed that there was a coin being stored on a table in the childcare space, along the path of travel and accessible to children.”

Rule Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three.. Corrected during the inspection.

Potentially hazardous items, including but not limited to, power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene, whether or not intended for use by children were not stored in locked areas, removed from the premises, or otherwise inaccessible to children.

“In the childcare space it was observed that there was a container of Vaseline being stored on a table in this space, along the path of travel and accessible to children.”

Rule Potentially hazardous items, including but not limited to, power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene, whether or not intended for use by children were not stored in locked areas, removed from the premises, or otherwise inaccessible to children.. Corrected during the inspection.

Prescribed medications were not stored in their original containers in which they are dispensed with the pharmacy label.

“Emergency medication was monitored. It was observed that one emergency medication being stored onsite for a child with a chronic medical condition was not stored in its original container or had its original container available for review.”

Rule Prescribed medications were not stored in their original containers in which they are dispensed with the pharmacy label.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 20, 2024. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“Authorization for up to 6 months to administer prescription or over-the-counter medication, when needed, for chronic medical conditions and for allergic reactions was not in writing and did not contain information required by rule 10 NCAC 09 .1720(c)(6)(A-I).Emergency medication was monitored. It was observed that two children had over the counter emergency medication, Benadryl, present but they did not have the corresponding permission to administer form completed and 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: Dec 20, 2024. Correction verified: by a letter from the provider.

Safe sleep policy did not contain the required information as indicated in rule .1724(a)(1-12).

“Four (4) children’s files were reviewed during today’s visit. It was observed that one child under twelve months of age did not have a completed Safe Sleep policy on file that had been customized to show the program’s specific Safe Sleep Policy.”

Rule Safe sleep policy did not contain the required information as indicated in rule .1724(a)(1-12).. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 20, 2024. Correction verified: by a letter from the provider.

Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home.

“Four (4) children’s files were reviewed during today’s visit. It was observed that three (3) children did not have completed discipline acknowledgments on file.”

Rule Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 20, 2024. Correction verified: by a letter from the provider.

Authorization for up to 6 months to administer prescription or over-the-counter medication, when needed, for chronic medical conditions and for allergic reactions was not in writing and did not contain information required by rule 10 NCAC 09 .1720(c)(6)(A-I).

“Emergency medication was monitored, as it is documented on the posted allergy list that two (2) children have either allergies or related chronic medical conditions. It was observed that both children did not have the required authorization for up to 6 months to administer completed and on file.”

Rule Authorization for up to 6 months to administer prescription or over-the-counter medication, when needed, for chronic medical conditions and for allergic reactions was not in writing and did not contain information required by rule 10 NCAC 09 .1720(c)(6)(A-I).. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 13, 2024. Correction verified: by a letter from the provider.

Electrical outlets not in use were not covered.

“In the kitchen one unused electrical outlet located at the end of the sink/serving island was observed not covered with a safety plug when not in use. It was also observed that two (2) unused electrical outlets located on the wall near the food preparation in the kitchen was not covered with safety plugs when not in use.”

Rule Electrical outlets not in use were not covered.. Corrected during the inspection.

Monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division.

“Monthly outdoor inspections were monitored and it was observed that the inspections that occurred in April 2024 and May 2024 were found to have been completed using the wrong form.”

Rule Monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 7, 2024. Correction verified: by a letter from the provider.

Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator’s own preschool children.

Rule Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children..

Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care.

“Emergency medication was monitored, as it is documented on the posted allergy list that two (2) children have either allergies or related chronic medical conditions. It was observed that both children were prescribed two medications for their allergies or related chronic medical condition and did not have all prescribed medications onsite.”

Rule Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs 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 10, 2024. Correction verified: by a letter from the provider.

Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training.

“One (1) staff file was reviewed and it was observed that Ms. Moore last completed ITS-SIDS certification on May 18, 2021 and was due to complete her three year renewal prior to the expiration date of May, 19, 2024 but this did not occur.”

Rule Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 14, 2024. Correction verified: by a letter from the provider.

Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care.

“In the childcare space it was observed that there was an aerosol can of disinfectant stored on a shelf. It was also observed in the kitchen there was one container of Superglue with the warning Keep out of the reach of children being stored in an unlocked drawer and an aerosol can of insect spray was being stored in an unlocked lower cabinet.”

Rule Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 16, 2023. Correction verified: by a letter from the provider.

Developmentally appropriate activities for the ages of children in care, were not provided as planned on the written schedule and activity plan.

“In the childcare space it was observed that there was an activity plan posted with activities listed for children between the ages of three and five years of age. There were no activities or activity plan available for younger children.”

Rule Developmentally appropriate activities for the ages of children in care, were not provided as planned on the written schedule and activity plan.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 19, 2023. Correction verified: by a letter from the provider.

Electrical outlets not in use were not covered.

“It was observed that there were nine (9) electrical outlets on the path of travel not covered with safety plugs when not in use.”

Rule Electrical outlets not in use were not covered.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 18, 2023. Correction verified: by a letter from the provider.

Operator did not provide a written statement to parents regarding the smoking and tobacco restriction.

“It was observed that two (2) children did not have signed statements acknowledging they had discussed the facility’s non-smoking policy on file, as required.”

Rule Operator did not provide a written statement to parents regarding 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: Dec 19, 2023. Correction verified: by a letter from the provider.

Operator or other transportation provider did not have written permission from each child’s parents or guardian to transport the child.

“It was observed that one (1) child did not have a signed permission to transport form on file.”

Rule Operator or other transportation provider did not have written permission from each child's parents or guardian to transport the child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 18, 2023. Correction verified: by a letter from the provider.

Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three.

“It was observed that there was a clear plastic bag stored on the floor in the hallway adjacent to the childcare space and accessible to children.”

Rule Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three.. Corrected during the inspection.

Products that are labeled “keep out of reach of children” with an additional warning(s) on the label, were not kept in locked storage while children were in care.

Rule Products that are labeled “keep out of reach of children” with an additional warning(s) on the label, were not kept in locked storage while children were in care.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 16, 2023. Correction verified: by a letter from the provider.

The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91.

“The last sanitation inspection was completed 12/2/22. This did not occur annually, as required.”

Rule The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 20, 2023. Correction verified: by a letter from the provider.

The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current.

“The Emergency Response and Preparedness Plan/Ready to Go File was reviewed and it was observed to not contain all updated information as required.”

Rule The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 19, 2023. Correction verified: by a letter from the provider.