Childcare Network #54

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

“In space #5, there were ten (10) children two (2) years of age with one (1) staff member.”

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: Apr 27, 2026. Correction verified: at a follow-up visit by DCDEE.

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

“A child’s file did not contain the required health assessment.”

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 4, 2026. Correction verified: by a letter from the provider.

Refrigerator(s) did not maintain a temperature of 45 degrees F. or below.

“The temperature of the refrigerator in the infant classroom was above 60 degrees F.”

Rule Refrigerator(s) did not maintain a temperature of 45 degrees F. or below.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 4, 2026. Correction verified: by a letter from the provider.

Activities and allotted times reflected in the schedule were not developmentally appropriate for the children in care.

“Children 3 years of age wait in a line for 10-15 minutes to use the bathroom.”

Rule Activities and allotted times reflected in the schedule were not developmentally appropriate for 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: Jan 28, 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 facility’s approved fire inspection report was not sent to the DCDEE within one week of the inspection visit.”

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: Jan 28, 2026. Correction verified: by a letter from the provider.

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

“A copy of a completed and signed incident report was not given to the parent.”

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

A drug or medicine was administered after its expiration date.

“In space 2a, a diaper paste for a child enrolled had expired 6/2022.”

Rule A drug or medicine was administered after its expiration date.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 14, 2025. Correction verified: by a letter from the provider.

All equipment and furnishings were not in good repair.

“On the preschool playground, the yellow slide is in need of repair or replacement. Swings on the preschool playground and school age playground are rusted.”

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: May 21, 2025. Correction verified: by a letter from the provider.

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

“In space 2b, a sleep chart was not completed or available for an infant who was sleeping in a crib.”

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 14, 2025. Correction verified: by a letter from the provider.

Developmentally appropriate equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development.

“The toddler playground does not adequate equipment and materials for a variety of outdoor activities.”

Rule Developmentally appropriate equipment and materials were not provided for variety of outdoor activities for vigorous play and large muscle development.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 14, 2025. Correction verified: by a letter from the provider.

Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use.

“In space 5, the diaper changing surface was not cleaned after each use.”

Rule Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use.. Corrected during the inspection.

Emergency information did not name child’s health care professional.

“A child’s medical care information did not contain the name of the child’s health care professional.”

Rule Emergency information did not name child's 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 14, 2025. Correction verified: by a letter from the provider.

Staff required to receive on-going training had not completed the required number of hours according to their education and experience.

“Staff member, D.W. did not complete the required on-going training. Five (5) additional hours are needed.”

Rule Staff required to receive on-going training had not completed the required number of hours according to their education and experience.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 14, 2025. Correction verified: by a letter from the provider.

The written feeding plan did not include the child’s name, parent signature, and/or was not dated when received by the center.

“In space 2a, a feeding plan for a child enrolled did not contain the parent’s signature.”

Rule The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 14, 2025. Correction verified: by a letter from the provider.

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

“A valid qualifying letter was not on file for staff member J. Harrison.”

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: Dec 18, 2024. 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 fencing around the school-age playground area had openings at the base of the fence that measured between 4-4.5 inches.”

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: Dec 18, 2024. Correction verified: by a letter from the provider.

Outdoor play equipment was not age and developmentally appropriate.

“The facility did not have adequate outdoor equipment for the children being served.”

Rule Outdoor play equipment was not age and developmentally appropriate.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 18, 2024. Correction verified: by a letter from the provider.

Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance).

“Staff member, J. Harrison did not complete required forms to complete a criminal background check prior to the expiration date of the current qualification letter.”

Rule Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance).. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 18, 2024. Correction verified: by a letter from the provider.

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

“According to 15A NCAC 18A .2832,(a) Child care center premises, including the outdoor learning environment, shall be kept clean, drained to minimize standing water, free of litter and hazards, and maintained in a manner which does not create conditions that attract or harbor pests. Debris, glass, dilapidated structures, and broken play equipment shall be removed from areas accessible to children. I observed fecal matter draining from sewage on the ground into the OLE accessible to children.”

Rule A safe indoor and outdoor environment was not provided for the children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 12, 2024. Correction verified: by a letter from the provider.

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

“During the visit, one asleep infant did not have a time documented on the safe sleep log.”

Rule Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 12, 2024. Correction verified: by a letter from the provider.

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

“While monitoring the children’s file (4) four children’s file did not have documentation of smoking and tobacco restriction on file.”

Rule The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 12, 2024. Correction verified: by a letter from the provider.

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

“In space #1, near the window, a piece of the baseboard was observed detached from the wall.”

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: Jun 25, 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.

“While on the outdoor learning environment, trash was seen on the ground and two (2) detachable plastic drains were seen detached from the water drain.”

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.