Childcare Network #325

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

“The outdoor play area had leaves and debris piled up along the fence line, in the wooden kitchen and in the play houses. A bolt was exposed on a railroad tie located to the right at the entrance gate to the playground. A broken chalk board was located on the toddler playground fence creating a pinching hazard.”

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

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 10, white out liquid and sharp scissors were in unlocked drawer accessible to children. In Space 8, hand sanitizer and antiseptic spray was in bag accessible to children. On Bus C284, a cold compress and antiseptic wipes were in a first aid kit accessible to 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..

All electrical appliances were not used in accordance with the manufacturers instruction.

“Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. In Space 10, electrical cords attached to a bottle warmer were hanging from the counter accessible to children.”

Rule All electrical appliances were not used in accordance with the manufacturers instruction..

All vehicles used to transport children were not free of hazards.

“The rear tires tread on Bus C284 was smooth and worn.”

Rule All vehicles used to transport children were not free of hazards..

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) In Space 10, one (1) child did not have a feeding schedule 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.

An outdoor swimming pool located on the premises was not enclosed by a four foot fence, separated from remaining play area by that fence, and locked and inaccessible when not in use.

“The lock on the gate to the outdoor pool was not secured and opened when pulled.”

Rule An outdoor swimming pool located on the premises was not enclosed by a four foot fence, separated from remaining play area by that fence, and locked and inaccessible when not in use.. Corrected during the inspection.

Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month.

“In Space 10, on 10/13/2026 at 9:30 am and on 10/15/2026 at 11:20 am it was documented a child was placed on side to sleep and no additional checks were documented for with date.”

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..

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.

“A medical report was not on file for an employee hired 7.28.2026.”

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..

Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually.

“The EI form was not on file for an employee hired 7.28.2026.”

Rule Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually..

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

“A signed and dated application documenting education, training and experience was not on file for an employee hired 7.28.2026.”

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

Documentation of staff’s on-going training was not on file and/or was not current .

“No on-going training record for 2025-2026 was documented or on file for an employee hired 8.19.2025”

Rule Documentation of staff's on-going training was not on file and/or was not current ..

Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas.

“Orientation was not documented and on file for employee hired 7.28.2026. Four (4) hours orientation was documented for an employee hired 5.18.2026.”

Rule Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas..

Emergency and identifying information, including the child’s name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported.

“One (1) child did not have a photograph on emergency information in the transportation notebook for Bus C284.”

Rule Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported..

For routine transport of children to and from the center, staff did not have a list of the children being transported.

“A name to face sheet was not provided to the driver’s and attendance was not taken on Monday, October 19, 2026.”

Rule For routine transport of children to and from the center, staff did not have a list of the children being transported..

Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements.

“The June, 2026 inspection was not completed and/or on file for review.”

Rule Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements..

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

“Ten (10) hours orientation was documented for an employee hired 5.18.2026. No orientation was documented for an employee hired 7.28.2026. Nine (9) hours orientation was documented for an employee hired 8.11.2026.”

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

On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months.

“A TB test was not on file for an employee hired 7.28.2026.”

Rule On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months..

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 10, plastic bags and paper clips were in a drawer accessible to children. In Space 2, plastic baggies were in a drawer accessible to children. In Space 3, small Velcro dots and a bracelet charm was in a drawer 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..

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 10, the facility’s Safe Sleep Policy was not posted.”

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

“The mulch under the swings was compacted and measured less than 1/2 inch and did not meet the critical height depth requirement.”

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

The health assessment did not include a dental screening.

“One (1) child enrolled in NC Pre K did not have a dental assessment on file.”

Rule The health assessment did not include a dental screening..

Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations.

“Bus C284, license plate PML2076 had a past due registration card on file dated 8.31.2026.”

Rule Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations..

Enhanced staff/child ratios and group sizes were not met.

“In Space 2, on August 25, 2026, one (1) teacher was alone room with fifteen (15) children ages 1-3 for a “short period” between 8:30am – 9:00 am while another teacher left the room. On a day during the week of August 24, 2026, one (1) staff member was in Space 10 for a period of time between 7 am - 8 am with six (6) children including five (5) infants under 12 months and one toddler over 12 months of age.”

Rule Enhanced staff/child ratios and group sizes were not met.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 15, 2026. Correction verified: at a follow-up visit by DCDEE.

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

“On August 6, 2026 a lid to a bin was on the play area upside down exposing sharp edges. The concrete on a pathway used by children to access the outdoor play area is broken with sharp edges exposed.”

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: Sep 23, 2026. Correction verified: by a letter from the provider.

Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas.

“A staff member hired May 5, 2026 did not have a record on file documenting 6 hours orientation received on file within the first two (2) weeks of employment.”

Rule Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 21, 2026. Correction verified: by a letter from the provider.

Incident logs were not completed and maintained as required.

“An incident requiring medical treatment dated August 6, 2026 was not logged in the facility’s incident log.”

Rule Incident logs were not completed and maintained as required.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 17, 2026. Correction verified: at a follow-up visit by DCDEE.

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.

“An incident report dated August 10, 2026 for an incident August 6, 2026 did not contain name of medical facility, treatment received for a dental injury sustained at the facility and date signed by a parent/guardian.”

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

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

“A staff member hired May 5, 2026 did not have a record on file documenting 16 hours orientation received on file within the first six (6) weeks of employment.”

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: Aug 17, 2026. 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.

“A staff member hired May 5, 2026 did not have a recognizing and responding to child maltreatment training certificate 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: Aug 18, 2026. Correction verified: at a follow-up visit by DCDEE.

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

“The mulch on the outdoor play area under the swings was compacted and did not meet critical height depth in the fall zones.”

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: Aug 31, 2026. Correction verified: by a letter from the provider.

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 annual fire inspection was conducted February 26, 2026 following the previous inspection conducted February 11, 2026. The Fire Inspection was not submitted to the Division within five (5) days.”

Rule Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection.. 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, small wiggly eyes, small baggies of glitter and gift bows in plastic were observed in an unlocked drawer lower than five (5) feet accessible to children. In Space 3, a plastic bag was observed in an unlocked refrigerator 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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 28, 2026. Correction verified: by a letter from the provider.

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. The ABCMS Roster was reviewed 10/29/2025 and is not completed.”

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: Nov 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.

“In Space 7, batteries were stored in an unlocked file cabinet accessible to 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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 30, 2025. Correction verified: by a letter from the provider.

All staff did not successfully complete certification in CPR training appropriate to the age of the children in care.

“Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff member has expired CPR card on file dated 10/11/2025.”

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: Nov 4, 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. One (1) staff member has expired First Aid card on file dated 10/11/2025.”

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

Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission.

“One (1) child did not have an immunization record on file.”

Rule Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 6, 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, one (1) child had a diaper cream expired 8/31/2025.”

Rule Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 6, 2025. Correction verified: by a letter from the provider.

Medical exam or health assessment record was not on file before or within 30 days after admission.

“One (1) child did not have a medical assessment on file.”

Rule Medical exam or health assessment record was not on file before or within 30 days after admission.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 6, 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, one child requiring an antihistamine had expired permission to administer form on file dated 10/24/2025. In Space 3, one (1) child had a diaper cream permission to administer form expired dated 10/17/2025.”

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: Oct 30, 2025. Correction verified: by a letter from the provider.

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 annual fire inspection dated 2/11/2025 was not sent to the division within one week of the inspection. The annual fire inspection was not conducted within 12 months of the previous inspection dated 2/4/2024.”

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

A valid qualification letter was not on file and available to review at the facility.

“One new staff member, Gloria White, did not have a valid qualification letter on file for review.”

Rule A valid qualification letter was not on file and available to review at the facility.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 27, 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.

“In Space 1, a spray bottle containing cleaner was stored in a bag on a cubby accessible to children. In Space 1, toothpaste with a warning keep out of reach of children was in a backpack in a cubby accessible to 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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 27, 2025. Correction verified: by a letter from the provider.

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

“On May 20, 2025, a staff member grabbed and forcibly pulled a sleeping child with developmental needs from a cot.”

Rule A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 24, 2025. Correction verified: at a follow-up visit by DCDEE.

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

“On May 20, 2025, a sleeping child was awakened and shamed by a staff member stating “the wicked shall not rest.””

Rule A child was yelled at, shamed, humiliated, frightened, threatened or bullied.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 24, 2025. Correction verified: at a follow-up visit by DCDEE.

Rule violated (DCDEE’s description below)

“Enhanced staff/child ratios and group sizes were not met.NC Pre-K wrap around care was out of ratio with 1 staff and 15 children at approximately 4:00 pm one afternoon the week of April 7, 2025. The toddler room was out of ratio at nap time recently with 1 teacher and 6 children, one of which was under one (1) year old.”

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: May 8, 2025. Correction verified: at a follow-up visit by DCDEE.

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

“The white shed located to the far right of the outdoor play area has rotted boards with splinters next to the doors. A large concrete boulder with sharp wood protruding was in from of the white shed. A house on the playground for three year olds was full of wet leaves and debris.”

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: Mar 27, 2025. Correction verified: by a letter from the provider.

All equipment and furnishings were not in good repair.

“Two (2) plastic kitchen sets on the play areas serving two and three year old’s respectively had mildew and broken parts. A spring play seahorse had broken plastic around the right handlebar.”

Rule All equipment and furnishings were not in good repair.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 27, 2025. Correction verified: by a letter from the provider.

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

“The wooden play structure located on the playground serving three year olds had rusted pipes and bolts accessible to children.”

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: Mar 27, 2025. Correction verified: by a letter from the provider.

Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches.

“The fence located at the entrance to the outdoor play area accessed from the rear parking lot measured six inches between the bottom of the fence and the drainage where the ground had eroded.”

Rule Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 27, 2025. Correction verified: by a letter from the provider.

Outdoor play area was not enclosed by fence with a minimum height of 4 feet.

“The top of the fence, less than six feet, was not free from protrusions. The rear fence to the far right of the play area measured 39” and the rear fence to the far left of the play area measured 41” where leaves and debris have piled up.”

Rule Outdoor play area was not enclosed by fence with a minimum height of 4 feet.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 27, 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.

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: Mar 27, 2025. Correction verified: by a letter from the provider.

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

“A wood pallet with splinters was observed in Space 9 accessible to children. The visitor log was not completed and a visitor was in the building without signing in and out after entering the facility through a back door.”

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: Mar 17, 2025. Correction verified: at a follow-up visit by DCDEE.

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 1, air freshener was in an unlocked cabinet accessible to children. In Space 4, air freshener was on a counter lower than five feet accessible to 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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 17, 2025. Correction verified: at a follow-up visit by DCDEE.

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

“A child’s feeding plan was not followed February 18, 2025. The child was fed another child’s bottle.”

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: Mar 17, 2025. Correction verified: at a follow-up visit by DCDEE.

Children were not adequately supervised at all times.

“Based on staff interviews it was observed that a staff member was observed asleep while supervising children.”

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: Mar 17, 2025. Correction verified: at a follow-up visit by DCDEE.

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

“Based on interviews it was confirmed that a child was fed the wrong bottle February 18, 2025. The bottle contained human milk.”

Rule Each infant was not served only bottles labeled with their individual name.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 17, 2025. 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 Spaces 1,3, and 4 hairbows, paper clips, pen caps and small shredded paper in an unlocked cabinet were 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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 17, 2025. Correction verified: at a follow-up visit by DCDEE.

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

“A rotting stump with sharp protrusions was observed on playground serving 4 year old -school age children. The fence at the right rear of the property is broken and the leaves have piled up creating areas of fence less than 4’ tall and a hole which children could crawl through. A mop bucket filled with water was observed in an unlocked bathroom in Space 10.”

Rule A safe indoor and outdoor environment was not provided for the children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 23, 2024. 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.

“Batteries were observed stored in an unlocked drawer in Space 4.”

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 vehicles used to transport children were not free of hazards.

“The first passenger seat in Bus # 38 is ripped and foam is exposed. The first two seat on both sides in Bus # 50 are ripped and the foam is exposed.”

Rule All vehicles used to transport children were not free of hazards.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 23, 2024. Correction verified: by a letter from the provider.

All vehicles were not insured for liability as required by state law.

“Bus # 38 did not have proof of insurance on file.”

Rule All vehicles were not insured for liability as required by state law.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 23, 2024. 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.

“A power strip with uncovered outlets was observed in Space 10 and Space 5. An outlet was uncovered in Space 9.”

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.

Emergency and identifying information, including the child’s name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported.

“The notebooks for Bus # 38 and Bus # 50 did not include pictures for each child on the transportation roster.”

Rule Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 23, 2024. Correction verified: by a letter from the provider.

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.

“Water bottles were not labeled and dated in Space 7 and 5. A lunch box was not dated in Space 1.”

Rule Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 23, 2024. Correction verified: by a letter from the provider.

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

“An Epi-Pen with 11-2024 expiration date was observed in Space 1.”

Rule Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 23, 2024. Correction verified: by a letter from the provider.

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

“A teacher’s backpack containing prescription medication was stored in an unlocked lower cabinet accessible to children in Space 1.”

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

Parent’s medication authorization did not include required information.

“The permission to administer medication for Benadryl was not signed and dated by a parent for a child enrolled in Space 1.”

Rule Parent's medication authorization did not include required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 23, 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.

“Plastic bags accessible to children were observed in Space 10 and Space 4.”

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.

Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children.

“Tobacco restriction signage was not posted in Bus # 50.”

Rule Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 23, 2024. Correction verified: by a letter from the provider.

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

“The mulch under the swing located on the large play area does not meet depth requirement in the fall zone and under the swing. The mulch near the metal stationary car with tunnel and slide does not meet required depth of mulch in fall zone.”

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

The health assessment did not include a hearing screening.

“One NC PreK child did not have a hearing screening on file.”

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

Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations.

“Bus # 38 did not have a registration card on file.”

Rule Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 23, 2024. Correction verified: by a letter from the provider.

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

“In space #1, a staff member took manipulatives out of a child’s hands and told him in a loud tone that he was supposed to be cleaning up.”

Rule Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 2, 2024. Correction verified: at a follow-up visit by DCDEE.

Food brought from home, did not meet the nutritional requirements and necessary supplements were not provided by center.

“On August 29, 2024, a child was served a Nutri-grain bar for lunch.”

Rule Food brought from home, did not meet the nutritional requirements and necessary supplements were not provided by center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 2, 2024. Correction verified: at a follow-up visit by DCDEE.

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.

“Three (3) infants were observed sleeping. Nothing was documented on the Safe Sleep Charts. The teacher stated that the infants had been asleep since 9:30, it was 10:11.”

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: May 16, 2024. Correction verified: by a letter from the provider.

Medical exam or health assessment record was not on file before or within 30 days after admission.

“One child did not have a medical exam on file.”

Rule Medical exam or health assessment record was not on file before or within 30 days after admission.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 17, 2024. Correction verified: by a letter from the provider.

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

“Space #5, one child had an expired medication authorization on file for an emergency medication.”

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: May 16, 2024. 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#8, an inhaler was not in the original prescription package.”

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: May 16, 2024. Correction verified: by a letter from the provider.

Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care.

“In space #4 a Dunkin Donuts cup of ice coffee was on the shelf.”

Rule Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 16, 2024. Correction verified: by a letter from the provider.

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

“In space #4 a child in this classroom had an emergency action plan that required Benadryl, the facility did not have Benadryl on site.”

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

All beds,cots, or mats with individual linen were not provided for each child.

“Space #6, one child did not have a sheet on his mat.”

Rule All beds,cots, or mats with individual linen were not provided for each child.. Corrected during the inspection.

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

“In space #4 an emergency medication was not stored 5 ft.”

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