Childcare Network #90

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

“In the classroom for two and three year olds, I observed a wall/ window frame that was not in good repair near the block area.”

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: Mar 3, 2026. Correction verified: by a letter from the provider.

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

“One new staff member had a medical report on file that was older than 12 months. (SM)”

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: Mar 3, 2026. 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.

“Two out of ten childrens records monitored today did not have documentation of immunization records.”

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: Mar 3, 2026. Correction verified: by a letter from the provider.

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.

“I observed children without photographs with their emergency information.”

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: Mar 3, 2026. Correction verified: by a letter from the provider.

Emergency information did not name childs health care professional.

“All children’s records that were monitored today did not have documentation of the childs health care provider.”

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: Mar 3, 2026. 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.

“Six out of ten childrens records monitored did not have documentation of a medical assessment 30 days after their start date.”

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: Mar 3, 2026. Correction verified: by a letter from the provider.

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.

“One new staff member had a TB test on file that was older than 12 months. (SM)”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 3, 2026. Correction verified: by a letter from the provider.

Outdoor play area did not provide an area that is shaded.

“The OLE for infants and toddlers did not have a shaded area.”

Rule Outdoor play area did not provide an area that is shaded.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 3, 2026. Correction verified: by a letter from the provider.

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

“The center did not maintain the temperature between 68-75°F in the room where infants sleep on 7/31/25 and 8/1/25.”

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: Aug 20, 2025. 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.

“Ms. Bost stated that the child related to the complaint allegations had an incident at the center that resulted in a knot on his head on his head due to him climbing on the table. There was no documentation of an incident report available during today’s visit.”

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: Jul 3, 2025. Correction verified: by a letter from the provider.

Physical activity such as running laps and doing push-ups was either withheld as punishment or required as punishment.

“One caregiver interviewed, stated that she had her class of four year old children walk the playground because they were “acting up”. This caregiver stated that the children walked the playground for about 15-20 minutes. The caregiver stated that the Director informed her that this was inappropriate discipline and she went over the Discipline Policy with her.”

Rule Physical activity such as running laps and doing push-ups was either withheld as punishment or required as punishment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 23, 2025. Correction verified: by a letter from the provider.

Center staff did not comply with the safe sleep policy.

“Infants were shifted into space #7, where there were no approved cribs or other approved sleep spaces for infants. Each infant did not have his or her own crib or sleep space.”

Rule Center staff did not comply with the safe sleep policy.. 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.

“I observed six infants and four toddlers in space #7 where there were small toys that could be swallowed were accessible to infants and toddlers.”

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.

All equipment and furnishings were not in good repair.

“The gate on the outdoor learning environment for school aged children is rusted and broken.”

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 11, 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.

“I observed peeling paint on the wall of the outdoor learning environment for toddlers.”

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: Mar 11, 2025. Correction verified: by a letter from the provider.

Chairs and tables were not the appropriate height for the children using the items.

“Children in space #6 were seated at a table in chairs that were not the appropriate height.”

Rule Chairs and tables were not the appropriate height for the children using the items.. Corrected during the inspection.

Emergency information did not name childs health care professional.

“Three children’s records emergency information did not include the child’s hospital preference.”

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: Mar 11, 2025. Correction verified: by a letter from the provider.

Emergency information record did not include chronic illness and any medication taken for the illness.

“All children’s records monitored did not check off yes or no - if the child has any chronic illness.”

Rule Emergency information record did not include chronic illness and any medication taken for the illness.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 11, 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.

“I observed standing water on the outdoor learning environment for three & four year old children and toddlers.”

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.. Corrected during the inspection.

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.

“I observed debris on the playground for school aged children, threes & four year old children and infants.”

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.. Corrected during the inspection.

Minimum staff/child ratios and group sizes for the number and ages of children in care were not met.

“During today’s visit, Mrs. Young informed me that half of the building (spaces #1-#5) did not have heat and that they had to combine children in classrooms together on the other side of the building where there was heat. In space number #7, I observed twenty-five (25) children present with four (4) teachers. There were twelve (12) one-year old children present and thirteen (13) two-year old children present.”

Rule Minimum staff/child ratios and group sizes for the number and ages of children in care were not met.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 25, 2025. Correction verified: at a follow-up visit by DCDEE.

Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review.

“In space 4, daily sign in was not captured during the arrival time. Two children were not signed in by parents nor staff during the initial walk-through of the facility.”

Rule Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review.. Corrected during the inspection.

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.

“Three children’s file did not contain the play outside the fence documentation required for each child enrolled.”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 5, 2024. Correction verified: by a letter from the provider.

Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review.

“Sign in and out was not documented for every child present today.”

Rule Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 5, 2024. Correction verified: by a letter from the provider.

Emergency medical care information was not on file in the center on the child’s first day of attendance and/or was not updated as changes occurred or at least annually for each child.

“One child’s record did not contain a completed medical care information regarding their child that has been enrolled in the program over 30 days.”

Rule Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 5, 2024. Correction verified: by a letter from the provider.

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

“A medical action plan was not completed for a child who has an asthma 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: Apr 5, 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.

“In a classroom that cared for toddlers, one staff member’s purse had eczema medication that wasn’t stored in a locked cabinet or closet during today’s visit.”

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