Everbrook Academy

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). On September 30th the center administrator self-reported that a six-month-old infant’s feeding schedule was not followed, and the infant was not fed their bottle at the scheduled time of 11:30 am. The infant was not fed their first bottle while in care until 2:30 pm, six hours after being fed at home. The discovery was not identified until 4:30 pm when a staff member determined that two bottles remained in the refrigerator.”

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.

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. Two staff members hired on February 16, 2026, and March 23, 2026, were not linked to the facility in the ABCMS within five days business days of hiring.”

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: Aug 25, 2026. Correction verified: by a letter from the provider.

A current activity plan was not posted for each group of children for reference.

“There was not a current posted lesson plan in space #2.”

Rule A current activity plan was not posted for each group of children for reference.. Corrected during the inspection.

A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information.

“There was not a FA poster posted in the facility.”

Rule A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information.. Corrected during the inspection.

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 staff member was hired March 30, 2026, and did not obtain CPR training until August 17, 2026.”

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

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 staff member hired March 30, 2026, did not obtain CPR training until August 17, 2026.”

Rule All staff did not successfully complete certification in First Aid appropriate to the age of children in care.. Corrected during the inspection.

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) One required posted infant feeding schedule was not posted in space #2.”

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.

Bed, cribs, playpens, cots or mats were not placed at least 18” apart or separated by partitions when in use.

“Cots were not spaced at least 18” apart in space #6.”

Rule Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 28, 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.

“Two staff were monitored wither with a medical that was not completed on the DCDEE staff medical report form or was not on file at all.”

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: Sep 15, 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.

“One staff member hired on March 14, 2025, did not have documentation of orientation completed within the first two weeks of employment on file.”

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 25, 2026. Correction verified: by a letter from the provider.

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

“Books were monitored in poor condition with torn pages, broken spines or missing pages in spaces #3, 5 and 9.”

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: Sep 1, 2026. Correction verified: by a letter from the provider.

Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served.

“The posted menu in the front foyer was not altered to reflect the changes to the daily menu for today.”

Rule Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served.. Corrected during the inspection.

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.

“Several children’s water bottles were monitored without the date listed.”

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: Aug 25, 2026. Correction verified: by a letter from the provider.

Incident logs were not completed and maintained as required.

“The center incident log was not maintained with each listed incident for August 2026. There were two incident reports maintained in the binder. The incident reports had not been filed in the child’s file.”

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 19, 2026. 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 over-the-counter medication was not returned to the parent or discarded within 72 hours of withdrawal. The child’s last day of enrollment was August 7, 2026.”

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.. Corrected during the inspection.

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

“Medication authorization was not on file for a prescribed medications in spaces #7 (prescribed inhaler) and #8 (prescribed hydrocortisone).”

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: Sep 15, 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.

“One staff member hired March 14, 2025, did not have at least 16 hrs. of orientation within the first 6 weeks documented and on file.”

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 25, 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 staff member’s TB results were older than twelve (12) months. The date on the TB results was September 5, 2021.”

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: Sep 15, 2026. 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.

“With ten (10), two-year-old children present, a plastic bag was observed stored on top of the children’s storage shelf in space #5.”

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.

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, a prescribed medication was not maintained with the prescription label.”

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: Aug 25, 2026. Correction verified: by a letter from the provider.

Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents.

Rule Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents.. Corrected during the inspection.

Staff did not complete the health and safety training within one year of employment.

“One existing staff member did not complete the required health and safety training within one year of their employment.”

Rule Staff did not complete the health and safety training 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 15, 2026. 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.

“Two bottles of Gator Aid were monitored stored on the shelfs in spaces #3 and #4.”

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.. Corrected during the inspection.

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

“One existing staff member did not complete twenty hours of required annual training. The staff member completed one hour of required training.”

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: Sep 15, 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.

“Three new staff members did not obtain CMT training within 90 days of employment.”

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 31, 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 the required information.

“The required components were not maintained in the RTGF. (blank incident reports, area map, allergy list, emergency numbers and 102 copies of children’s emergency contact information)”

Rule The EPR Plan did not include the location of the Ready to Go File and or the required information.. 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: by a letter from the provider.

The medical action plan was not updated on an annual basis or when changes to the plan were made by the child’s parent or health care professional.

“A medical action plan monitored in space #7 was not completed in its entirety and the year listed on the signature line/date was listed as 2021.”

Rule The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional.. Corrected during the inspection.

The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person’s file.

“One staff member hired August 5, 2026, did not have a signed shaken baby syndrome and abusive head trauma policy on file prior to providing care with children.”

Rule The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 2, 2026. Correction verified: at a follow-up visit by DCDEE.

The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current.

“The EPR plan was not updated to reflect center administrator changes and health consultant since the last review was completed, February 10, 2026, with the new administrator.”

Rule The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 19, 2026. Correction verified: by a letter from the provider.

Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty.

“A dirty toy bin was not observed in space #6.”

Rule Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 1, 2026. Correction verified: by a letter from the provider.

At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care.

“Today, the caregiver (Z. B.) in space #2 was alone with four children, ranging in age from infant to one year of age without ITS-SIDS training completed.”

Rule At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care.. Corrected during the inspection.

Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years.

“Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. One staff member (J. B.) who was assigned to work in the infant room did not obtain ITS-SIDS training within two months of employment.”

Rule Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years.. 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.

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

“On July 17, 2026, two staff were involved in an altercation in the hallway outside of the village, as at least three different families with children were in process of escorting the children to their classrooms when the altercation occurred. Several profane words were hailed back and forth between the two staff members in front of children.”

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: Aug 18, 2026. Correction verified: at a follow-up visit by DCDEE.

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

“One new staff member (Z. B.) hired on June 29, 2026, did not have the first two weeks of orientation training completed.”

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 18, 2026. Correction verified: at a follow-up visit by DCDEE.

Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.

“At least every three months either SIP (lock down or shelter in place) drill was completed.”

Rule Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.. 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 operator made an effort to falsify information.

“Thirteen staff were interviewed to determine if either a shelter in place or lock down drill was completed in the month of June 2026. Twelve staff were interviewed and indicated that either drill had not been completed in the month of June 2026. The center’s emergency drill log and report for child care centers tracking tool was documented that a lockdown drill was completed on June 30, 2026. The drill log was falsified by the center administrator, legal designee to the operator.”

Rule The operator made an effort to falsify information.. 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.

Children were not adequately supervised at all times.

“In space #2, a white noise app was being played through a portable speaker. The staff person stated she could not hear an infant cooing. Staff was not able to hear all children at all times.”

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: Jul 7, 2026. Correction verified: at a follow-up visit by DCDEE.

Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible.

“An interior wooden arch/hole maintained in the Brooks space was in poor condition, a child sustained an injury after falling into the edge of the equipment. The incident occurred in May and was not removed or made inaccessible to children.”

Rule Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible.. Corrected during the inspection.

Incident logs were not completed and maintained as required.

“Incidents dated from 2025 to May 2026 were not logged on to the center incident log. Children’s incident reports were not filed in the applicable child’s file.”

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: Jul 7, 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.

“Incident reports were monitored for compliance and were not completed in their entirety.”

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 7, 2026. Correction verified: at a follow-up visit by DCDEE.

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 center’s annual fire inspection was due no later than April 10, 2026.”

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: May 5, 2026. Correction verified: by a letter from the provider.

Caregiver did not make provision for constructive guidance and setting limits that the child can understand and that foster the child’s ability to be self-disciplined.

“On March 17, 2026, a staff member was observed by a parent on the center video using an open hand to redirect two children, one year of age away from a wall hanging by use of her hand towards the backs of the children’s heads. Both toddlers fell to the ground and one toddler, cried uncontrollably. The staff member was not on the toddler’s eye level nor communicated to the toddlers to explain or engage them away from the wall hanging.”

Rule Caregiver did not make provision for constructive guidance and setting limits that the child can understand and that foster the child's ability to be self-disciplined.. Corrected during the inspection.

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. Four new staff were not linked in the ABCMS within five days business days after hiring. REPEATED VIOLATION”

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: Mar 10, 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 staff medical completed on NC DPI staff Medical Report form instead of the DCDEE Staff Medical Report form. REPEATED VIOLATION”

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 2, 2026. Correction verified: by a letter from the provider.

Fire drills were not practiced monthly and/or the drill record was incomplete.

“A monthly fire drill was not completed since December 2025. REPEATED VIOLATION”

Rule Fire drills were not practiced monthly and/or the drill record was incomplete.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 10, 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.

“Two staff hired with completed CMT; however, the training was older than a year and the two staff would have obtained the required training within 90 days after hiring. REPEATED VIOLATION”

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

The temperature in a room where infants aged 12 months or younger where sleeping exceeded 75 degrees.

“The temperature in space #2 thermometer read 75.4F.”

Rule The temperature in a room where infants aged 12 months or younger where sleeping exceeded 75 degrees.. Corrected during the inspection.

There was no written emergency medical care (EMC) plan.

“The posted EMC plan in classrooms were monitored not current.”

Rule There was no written emergency medical care (EMC) plan.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 25, 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. Four new staff were not linked to the facility within five business days after hiring.”

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

A current activity plan was not posted for each group of children for reference.

“Activity plans posted were from last week in the following spaces: 1, 3, and 6.”

Rule A current activity plan was not posted for each group of children for reference.. Corrected during the inspection.

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). Three infant feeding schedules were monitored not posted in space #2.”

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.

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 staff medical was monitored completed but on a NC DPI Staff Medical report form, instead of the DCDEE Staff Medical Report form.”

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 2, 2026. Correction verified: by a letter from the provider.

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

“Books were monitored in poor repair in space# 4, 5, and 7.”

Rule Equipment and furnishings were not sturdy, stable and free of hazards.. Corrected during the inspection.

Fire drills were not practiced monthly and/or the drill record was incomplete.

“A monthly fire drill was not completed in January 2026.”

Rule Fire drills were not practiced monthly and/or the drill record was incomplete.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 10, 2026. 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.

“A child’s extra clothing was monitored stored in a plastic bag, accessible to children in space #5. A child’s soiled clothing was stored in a plastic bag, accessible to children in space #6 and #9.”

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.

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.

“Two staff were hired with completed CMT; however, the training was older than a year and the two staff should have obtained the required training within 90 days after hiring.”

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

Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty.

“The dirty toy bin was monitored empty in space #3. Mouthed toys were not removed from the children’s environment.”

Rule Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 24, 2026. Correction verified: at a follow-up visit by DCDEE.

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

“Books were monitored in poor condition in three spaces.”

Rule Equipment and furnishings were not sturdy, stable and free of hazards.. Corrected during the inspection.

There was no written emergency medical care (EMC) plan.

“The posted EMC plan was not current.”

Rule There was no written emergency medical care (EMC) plan.. Corrected during the inspection.

Children were not adequately supervised at all times.

“On December 1, 2025, a two-year-old child was left in classroom/space#6 for approximately one to two minutes unattended by the adult responsible for supervising a group of two-and three-year-old 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: Dec 23, 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. Two new staff were monitored with CPR documentation that is not accepted or did not list the required modules.”

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: Sep 16, 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. Two new staff were monitored with FA training documentation on file that was not from an approved training agency or didn’t provide the required documentation card as verifiable proof.”

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: Sep 16, 2025. Correction verified: by a letter from the provider.

Caregiver did not respond at the earliest opportunity to an infant or toddler’s physical and emotional needs.

“A caregiver in space #2 did not respond to two crying infants appropriately. The caregiver was monitored washing off a highchair instead of responding to the infants emotional and physical needs.”

Rule Caregiver did not respond at the earliest opportunity to an infant or toddler’s physical and emotional needs.. 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.

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.

“Three small glue sticks were monitored stored in a child cubby in space #6 accessible to two-year-old 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.. Corrected during the inspection.

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.

“A staff member in space #9 had two cans of surgery drinks maintained on the children’s cubby.”

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

The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division.

“The center’s EPR plan was monitored in draft mode, and the training was completed March 31, 2025.”

Rule The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 9, 2025. 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.

“One staff member was hired with CMT training completed older than one year and the new staff member didn’t obtain CMT training within 90 days of employment.”

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 28, 2025. Correction verified: by a letter from the provider.

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

“The RTGF was monitored not current. Children’s emergency contact information, blank incident reports, current center allergy list were not maintained in the RTGF.”

Rule The EPR Plan did not include the location of the Ready to Go File and or the required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 9, 2025. Correction verified: by a letter from the provider.

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

“A staff member failed to ensure a safe environment when a one year old child was able to access a water hose cabinet resulting in the child finger getting caught in the hinge side of the door cover causing the tip of the child’s finger being cut off.”

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: May 15, 2025. Correction verified: by a letter from the provider.

Balloons were accessible to children.

“There were balloons in the lobby for teacher appreciation week.”

Rule Balloons were accessible to children.. Corrected during the inspection.

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

“In space#6 there was a water table with mold on the toys and the mat on the floor. Ms. Craig and I emptied the table completely and took the table outside to dry.”

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

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.

“One staff member was required to have the required training by December 26, 2024. It was no completed until February 3, 2025.”

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.. Corrected during the inspection.

A variety of foods were not included in meals and snacks.

“Based on menus and interviews the children are not being serve a variety of food.”

Rule A variety of foods were not included in meals and snacks.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 6, 2025. Correction verified: at a follow-up visit by DCDEE.

A violation was found for which there is no item number.

“15A NCAC 18A .2826 LIGHTING AND THERMAL ENVIRONMENT(b) All rooms used by children shall be heated, cooled, and ventilated to maintain an ambient temperature between 65 degrees Fahrenheit and 85 degrees Fahrenheit. The week of January 10, 2025 the facility had trouble with the heat. Staff reported they had to keep their jackets on and that they children’s hands, and noses were cold. Staff stated that it was very cold when the children sat on the floor or when they were napping.”

Rule A violation was found for which there is no item number.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 6, 2025. Correction verified: at a follow-up visit by DCDEE.

All equipment and furnishings were not in good repair.

“In space 3 all of the books had torn pages or had missing pages.”

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: Feb 6, 2025. Correction verified: at a follow-up visit by DCDEE.

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

“Rugs were observed dirty and floors had spills that had not been mopped and had been there a couple days.”

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: Feb 6, 2025. Correction verified: at a follow-up visit by DCDEE.

Center did not maintain a record of daily attendance.

“None of the classrooms had accurate attendance due to the consist transiting of children to different classrooms.”

Rule Center did not maintain a record of daily attendance.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 6, 2025. Correction verified: at a follow-up visit by DCDEE.

Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages.

“I did not observe one child washing their hands as they arrived in the classroom. I observed at least 10 children arriving who did not wash their hands upon arrival.”

Rule Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 6, 2025. Correction verified: at a follow-up visit by DCDEE.

Children were not adequately supervised at all times.

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: Feb 6, 2025. Correction verified: at a follow-up visit by DCDEE.

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.

“One outlet was no covered in space 2”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 6, 2025. Correction verified: at a follow-up visit by DCDEE.

Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served.

“Egg with red and green peppers was on the menu for today’s breakfast. They were served waffles, apricot and milk.”

Rule Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 6, 2025. Correction verified: at a follow-up visit by DCDEE.

Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs.

“Based on interview the children are not served the required meal patterns. They are served whatever food is available.”

Rule Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 6, 2025. Correction verified: at a follow-up visit by DCDEE.

Menus for all meals and snacks were not current or posted where easily seen by parents and cook.

“The menu posted in the lobby for parents was dated last week.”

Rule Menus for all meals and snacks were not current or posted where easily seen by parents and cook.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 6, 2025. Correction verified: at a follow-up visit by DCDEE.

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

“In space #3 eight (8) children, one year of age, were observed with only one (1) staff member in the classroom. In space #4 There were thirteen (13) children who were one year of age with two (2) staff members. In space #5 there were twelve (12) children aged two years old, with (1) one teacher.”

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 6, 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 space 3 I took paper from a torn book out of a toddler’s mouth who was chewing it.”

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: Feb 6, 2025. Correction verified: at a follow-up visit by DCDEE.

Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory.

“There was no toilet paper or paper towels in 2 of the restrooms and classrooms.”

Rule Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 6, 2025. Correction verified: at a follow-up visit by DCDEE.

Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children.

“Children were being transitioned from room to room to try to be in ratio, children were observed crying and confused.”

Rule Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 6, 2025. Correction verified: at a follow-up visit by DCDEE.

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.

“It was observed that one of the staff members had a clear cup of soda from McDonalds that she sat on the cubby.”

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: Feb 6, 2025. Correction verified: at a follow-up visit by DCDEE.

The child care provider did not provide the required beverage(s).

“The cook stated they have watered down milk in order to have enough milk for the children.”

Rule The child care provider did not provide the required beverage(s).. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 6, 2025. Correction verified: at a follow-up visit by DCDEE.

Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served.

“Children were served a veggie burger, no bun, peas and carrots and watermelon or pineapple for lunch. The menu stated that the children would be served turkey sausage, waffle, peppers, and oranges for lunch.”

Rule Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 2, 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.

“In space #2 one bottle was not dated.”

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.. Corrected during the inspection.

Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs.

“Children were served a veggie burger, no bun, peas and carrots and watermelon or pineapple for lunch. The children were not served a grain. The menu stated that the children would be served turkey sausage, waffle, peppers, and oranges for lunch.”

Rule Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 2, 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.

“The staff lounge was unlocked a bottle of Dawn dish soap was on the counter.”

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 21, 2024. Correction verified: by a letter from the provider.

All floors and floor coverings were not constructed of nonabsorbent material and/or were not kept clean and in good repair.

“In space #7 the carpet had what looked to be crumbs and dirt on the carpet.”

Rule All floors and floor coverings were not constructed of nonabsorbent material and/or were not kept clean 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: Oct 21, 2024. 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. A staff members CPR expired on September 14, 2024.”

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: Oct 21, 2024. 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. A staff members FA expired on September 14, 2024.”

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: Oct 21, 2024. Correction verified: by a letter from the provider.

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) No feeding schedules were posted as required. The feeding schedules were located in a folder, in a cabinet.”

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: Oct 21, 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.

“In space #2 seven infants are enrolled. Safe Sleep Checks had not been completed since October 1, 2024.”

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: Oct 21, 2024. Correction verified: by a letter from the provider.

Fire drills were not practiced monthly and/or the drill record was incomplete.

“A fire drill was not completed in September 2024.”

Rule Fire drills were not practiced monthly and/or the drill record was incomplete.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 21, 2024. Correction verified: by a letter from the provider.

Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement.

“One child did not have an enrollment date on the Discipline Policy.”

Rule Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 21, 2024. 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.

“One infant did not have a feeding schedule.”

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: Oct 21, 2024. Correction verified: by a letter from the provider.