Treehouse Playhouse LLC

Each child’s hands were not washed before and after eating.

“During today’s visit children’s hands were observed at varying times not being washed either before or after handling food.”

Rule Each child's hands were not washed before and after eating.. 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.

Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification.

“During today’s visit the provider’s personnel and training files were reviewed. It was observed that the provider was due to successfully complete the two year renewal of the required CPR Certification prior to June 30th, 2026 but this did not occur until July 18, 2026.”

Rule Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 4, 2026. Correction verified: by a letter from the provider.

Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification.

“During today’s visit the provider’s personnel and training files were reviewed. It was observed that the provider that the provider was due to successfully complete the two year renewal of the required First Aid certification prior to June 30th, 2026 but this did not occur until July 18, 2026.”

Rule Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 4, 2026. Correction verified: by a letter from the provider.

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.

“While monitoring the program’s outdoor learning environment hazardous materials were observed being stored in an unlocked storage unit.”

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.. 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.

Rule violated (DCDEE’s description below)

“The EPR Plan did not include specific considerations for non-mobile children and children with special needs. The program’s EPR and Ready to Go File were monitored. It was observed that the facility’s current Emergency Preparedness and Response plan did not include specific details about processes for non-mobile children.”

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

The EPR Plan did not include the location of the Ready to Go File and/or required information.

“The program’s EPR and Ready to Go File were monitored. It was observed that the facility’s current Emergency Preparedness and Response plan did not contain all the required information.”

Rule The EPR Plan did not include the location of the Ready to Go File and/or required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 4, 2026. Correction verified: by a letter from the provider.

Appliances with heating elements, such as bottle warmers, crock pots, curling irons, and electrical cords were accessible to children.

“While monitoring the licensed childcare space a string of decorative lights was observed hung around the top border of the wall with the end piece of the electrical cord hanging down plugged in to the wall outlet and accessible to children.”

Rule Appliances with heating elements, such as bottle warmers, crock pots, curling irons, and electrical cords were accessible to children.. Corrected during the inspection.

Electrical outlets not in use were not covered.

“While conducting the walkthrough five (5) electrical outlets were observed uncovered when not in use, four (4) in the kitchen and one (1) in the licensed childcare space.”

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

Items used for starting fires, such as matches, accelerants, and lighters, were not kept in locked storage.

“During today’s visit while transitioning from the kitchen to the living room of the home a candle was observed lit and being stored on the counter space near the kitchen sink.”

Rule Items used for starting fires, such as matches, accelerants, and lighters, were not kept in locked storage.. Corrected during the inspection.

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.

“While monitoring the outdoor learning environment yard clippings, loose pieces of plastic fencing, an unused metal hanging flower basket, an used plastic flowerpot with pieces of tissue, loose cords and stack, weather-damaged foam pieces were observed present, 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: Aug 27, 2025. Correction verified: by a letter from the provider.

Application did not include the names and the phone numbers of the child’s physician and the persons to be contacted in an emergency situation.

“Ms. Davis had a file available for review for all enrolled children. It was observed that one child enrolled in January of 2025 did not have a completed application on file including names and phone numbers of the child’s physician.”

Rule Application did not include the names and the phone numbers of the child's physician and the persons to be contacted in an emergency situation.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 28, 2025. Correction verified: by a letter from the provider.

Health questionnaire was not completed annually.

“It was observed that the provider’s annual health questionnaire was due to be completed by June 05, 2025 but that had not occurred, as required.”

Rule Health questionnaire was not completed annually.. Corrected during the inspection.

Incident logs were not completed and maintained as required.

“The program’s Incident log was monitored. It was observed that although there had been incident reports completed and were present in the corresponding child’s file in the past twelve months there was no corresponding log available for review.”

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

Operator and/or staff members did not complete a professional development plan within one year of employment.

“During today’s visit Ms. Davis’ personnel file was reviewed. It was observed that the provider had not completed a professional development plan within one year of employment, as required.”

Rule Operator and/or staff members did not complete a professional development plan within one year of employment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 1, 2025. Correction verified: by a letter from the provider.

Operator and/or staff members did not complete the required health and safety trainings within the specified time frame.

“During today’s visit Ms. Davis’ personnel file was reviewed. It was observed that the provider had not completed the required health and safety trainings within the specified time frame, as required.”

Rule Operator and/or staff members did not complete the required health and safety trainings within the specified time frame.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 7, 2025. Correction verified: by a letter from the provider.

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.

“In the licensed childcare space the program’s outdoor bag was observed hanging less than five feet from the ground and contained a first aid kit with both an instant ice pack and packet of antibiotic ointment stored inside. Each of these items were labeled with the warning “Keep out of the Reach of Children” and accompanied by other warnings.”

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.. Corrected during the inspection.

Rule violated (DCDEE’s description below)

“Medication authorization, as required by the medical action plan, did not include the specific information and instructions noted by the parent and/or physician as documented the medical action plan. Emergency medication was reviewed. It was observed that one child with a documented, chronic medical condition requiring lifesaving medication had the medication present but did not have a completed medication authorization form on file as required by the medical action plan, including the specific information and instructions noted by the parent and/or physician as documented the medical action plan.”

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: Aug 29, 2025. Correction verified: by a letter from the provider.

The operator did not complete the Emergency Preparedness and Response in Child Care training within the required timeframe and/or documentation of completion of the training was not on file.

“It was observed that the provider had not yet completed the Emergency Preparedness and Response in Child Care training, as required.”

Rule The operator did not complete the Emergency Preparedness and Response in Child Care training within the required timeframe and/or documentation of completion of the training was not on file.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 7, 2025. Correction verified: by a letter from the provider.

The written schedule and/or activity plan did not show blocks of time that was developmentally appropriate to the ages of children in care.

“In the licensed childcare space it was observed that the program did not have a current activity plan posted or accessible in the licensed childcare space for review that showed blocks of time or activities that were developmentally appropriate to the ages of children in care.”

Rule The written schedule and/or activity plan did not show blocks of time that was developmentally appropriate to the ages of children in care.. Corrected during the inspection.

Number of preschool children exceeded five children, including the provider’s own preschool children.

“On July 16, 2025, there were six preschool aged children present.”

Rule Number of preschool children exceeded five children, including the provider's own preschool children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 22, 2025. 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.

“The master bedroom door was open and that is where the provider stores her cleaning supplies. The Kitty litter was assessible to the children.”

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.. Corrected during the inspection.

Summary of the NC Child Care Law was not given to each child’s parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file.

“There was no documentation of acknowledgment that parents were given a copy of the Summary of Law.”

Rule Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 11, 2025. Correction verified: by a letter from the provider.

A First Aid Information sheet, complete with required information, was not posted for quick referral by staff.

Rule A First Aid Information sheet, complete with required information, was not posted for quick referral by staff.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 29, 2024. Correction verified: by a letter from the provider.

Copy of each child’s health assessment, including the operator’s own preschool child(ren), was not on file within 30 days of enrollment.

“Three children do not have a medical on file.”

Rule Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 29, 2024. Correction verified: by a letter from the provider.

Copy of each child’s immunization record, including the operator’s own preschool child(ren), was not on file.

“Three children did not have an immunization on file.”

Rule Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 29, 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.

“Cleaning products and aerosol cans were stored unlocked in the bathroom.”

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: Oct 29, 2024. 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.

“There was no lesson plan or schedule.”

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: Oct 29, 2024. Correction verified: by a letter from the provider.

Electrical outlets not in use were not covered.

“One outlet from a light plug was not cover.”

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: Oct 29, 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.

“No children enrolled had a Shaken Baby Syndrome and abusive Head Trauma policy on file.”

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: Oct 29, 2024. Correction verified: by a letter from the provider.

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

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: Oct 29, 2024. Correction verified: by a letter from the provider.

Records were not made available for review.

“The providers child who attends a NCPREK did not have a file for review.”

Rule Records 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: Oct 29, 2024. Correction verified: by a letter from the provider.

Safe sleep policy and poster about safe sleep practices was not posted in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily.

Rule Safe sleep policy and poster about safe sleep practices was not posted in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 29, 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.

“One child did not have a signed discipline policy 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: Oct 29, 2024. Correction verified: by a letter from the provider.

Sleeping infants, ages 12 months and younger were not visually checked every 15 minutes.

“Safe Sleep documentation only captured when an infant went down to sleep.”

Rule Sleeping infants, ages 12 months and younger were not visually checked every 15 minutes.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 29, 2024. Correction verified: by a letter from the provider.

Summary of the NC Child Care Law was not given to each child’s parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file.

“Three children did not have a signed statement that they received a Summary of Law.”

Rule Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 29, 2024. Correction verified: by a letter from the provider.

The Family Child Care Home operator did not discuss the operational policies with parents on or before the child’s first day of attendance.

“There was no documentation that operation policies were discussed with the parents on or before the child’s first day of attendance for three children.”

Rule The Family Child Care Home operator did not discuss the operational policies with parents on or before the child's first day of attendance.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 29, 2024. Correction verified: by a letter from the provider.