St. Marks Child Development Center

Gates to the fenced outdoor play area did not remain closed while children occupied the area.

“The gate to the outdoor play area was open while children from space 4 played in the outdoor play area.”

Rule Gates to the fenced outdoor play area did not remain closed while children occupied the area.. Corrected during the inspection.

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 last fire inspection was conducted on February 20, 2024.”

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: Mar 5, 2025. Correction verified: by a letter from the provider.

Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.

“There was an expired ointment in space 1 for children (E.O.) that expired May 2024; expired ointment in space 2 for (A.K.) that expired February 2021; in space 3 a cream expired for (O.P.) expired October 2024; in space 3 a cream expired for S.S. expired August 2024 and a sunscreen expired October 2024.”

Rule Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 20, 2025. Correction verified: by a letter from the provider.

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

“Permission to administer form expired for over-the-counter medications: in space 1 (B.F.) did not have a signed permission to administer for a diaper cream; in space 1 (A.L.) did not have a signed permission to administer for a diaper cream; in space 2 (P.H.) had an expired permission (September 7, 2024) to administer; in space (M.R.) permission to administer expired August 8, 2024; in space 2 (R.D.) permission to administer expired November 13, 2024; in space 3 (A.N.) no permission dates on form.”

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: Jan 20, 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.

“An infant feeding plan did not include the parent signature for child (M.K.) in space 1.”

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: Jan 20, 2025. Correction verified: by a letter from the provider.

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

“The fire drill record was incomplete for October 2024.”

Rule Fire drills were not practiced monthly and/or the drill record was incomplete.. Corrected during the inspection.

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

“The director stated that turkey slices on whole wheat buns were served to the children in space 1; it was not records on the menu prior to the meal being served.”

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.

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

“The playground inspection for October 2024 was not completed.”

Rule Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 14, 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.

“The door in space 1 had chipped peeling paint.”

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: Sep 20, 2024. Correction verified: by a letter from the provider.

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

“Heater in space 1 with sharp edges (uncapped edges) and heating element (rusting/molding), in space 1; heating wall element is falling off the wall in space 6.”

Rule A safe indoor and outdoor environment was not provided for the children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 27, 2024. Correction verified: at a follow-up visit by DCDEE.

All equipment and furnishings were not in good repair.

“A slat was missing on the fence in the outdoor play area on the right near the preschool play area.”

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: Aug 27, 2024. 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.

“Space 1 peeling paint, chipped paint on door in space 2, dirty wall, chipped paint on door and dirty wall in space 3, dirty window seals space 4, dirty window blinds, peeling paint on door on door in space 6.”

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: Aug 30, 2024. Correction verified: by a letter from the provider.

Children were not adequately supervised at all times.

“Children were left unsupervised in the hallway bathroom from space 4; one (1) child from space 6 was left unsupervised.”

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: Aug 27, 2024. Correction verified: at a follow-up visit by DCDEE.

Electrical cords were accessible to infants and toddlers.

“An air-conditioner cord was accessible to children in space 3.”

Rule Electrical cords were accessible to infants and toddlers.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 27, 2024. 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.

“Outlet uncovered in space 6.”

Rule Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child.. Corrected during the inspection.

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 teacher (S.W.) in space 3, had a Ginger Ale and a Coffee cup.”

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, 2024. Correction verified: at a follow-up visit by DCDEE.

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.

“Wet boxes near the green outdoor storage building, and tarp on the playground for preschool children.”

Rule The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 27, 2024. Correction verified: at a follow-up visit by DCDEE.

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.

“There were three (3) left over medication (a nasal spray and two (2) inhalers) for children there are no longer enrolled.”

Rule Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 17, 2024. Correction verified: by a letter from the provider.

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

“A child (L.P.) did not have the Permission to Administer Medication Administer form.”

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: Jul 17, 2024. Correction verified: by a letter from the provider.

A child’s file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information.

“There was no Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file for child A.L.”

Rule A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 11, 2024. Correction verified: by a letter from the provider.

A drug or medicine was administered after its expiration date.

“Sunscreens were expired for M.B. and A.K. in space 2.”

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: Jul 11, 2024. Correction verified: by a letter from the provider.

Authorization for emergency medical care information was not signed by child’s parent.

Rule Authorization for emergency medical care information was not signed by child's parent.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 11, 2024. Correction verified: by a letter from the provider.

Gates to the fenced outdoor play area did not remain closed while children occupied the area.

“The gate was not closed while children from space 4. were in the outdoor area”

Rule Gates to the fenced outdoor play area did not remain closed while children occupied the area.. Corrected during the inspection.

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

“There were no permission forms for child D.P. and W.P. in space 1; incomplete form for child M.R. in space 2, and incomplete forms for C.S. and A.N. in space 3;”

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: Jul 11, 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.

“The enrollment date was missing on the discipline policy for child A.H.”

Rule Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement.. Corrected during the inspection.

Children used space that was not approved.

“The children in space 5., were in the Fellowship Hall.”

Rule Children used space that was not approved.. Corrected during the inspection.

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.

“An outlet cover was not covered in space 3.”

Rule Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child.. Corrected during the inspection.

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 last fire inspection was not scheduled within 12 months of the previous inspection, February 7, 2023.”

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: Feb 20, 2024. Correction verified: by a letter from the provider.

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

“The shelter-in-place or lockdown drills were not practiced every three (3) months. They were practiced, January 10, 2023, April 18, 2023, July 17, 2023, October 23, 2023, and a drill was not practiced in January 2024.”

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: Feb 20, 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.

“The signature was not complete for children seven (7) children: (A.G.), (C.C.), (C.S.), (C.C.), (K.B.), & (N.T.) (S.F).”

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: Feb 20, 2024. Correction verified: by a letter from the provider.