Kindercare Learning Centers LLC

Application for enrollment did not include all required information.

“Ten (10) children’s files were monitored. It was observed that two (2) children did not have completed applications on file including all the required information.”

Rule Application for enrollment did not include all required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 23, 2026. Correction verified: by a letter from the provider.

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.

“During today’s visit meal-time was observed taking place in various classrooms. It was observed on multiple occasions that handwashing did not occur either before or after handling food by children.”

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: Jul 22, 2026. Correction verified: at a follow-up visit by DCDEE.

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

“Ten (10) children’s files were monitored. It was observed that three (3) children did not have completed medical assessments on file containing all the required information.”

Rule Medical exam or health assessment record was not on file before or within 30 days after admission.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 23, 2026. Correction verified: by a letter from the provider.

Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items.

“During today’s visit meal-time was observed taking place in various classrooms. It was observed on multiple occasions that handwashing did not occur either before or after handling food by staff members.”

Rule Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 22, 2026. 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.

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 26, 2026. Correction verified: by a letter from the provider.

The written feeding plan did not include the type of milk, formula or food and/or the frequency of the feedings.

“Feeding Schedules were also reviewed In Space #4, the Infant Classroom, and it was observed that four (4) of these were not completed with all the required information.”

Rule The written feeding plan did not include the type of milk, formula or food and/or the frequency of the feedings.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 30, 2026. Correction verified: by a letter from the provider.

The written feeding plan was not modified as the child’s needs changed.

“In Space #2, the Toddler Classroom, four (4) Feeding Schedules were reviewed and it was observed that one (1) child’s Feeding Schedule had not been updated to reflect the child is not eating solid foods.”

Rule The written feeding plan was not modified as the child's needs changed.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 22, 2026. Correction verified: at a follow-up visit by DCDEE.

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

“Criminal background checks were monitored for new staff during today’s visit. It was observed that two (2) new staff members hired on 11/10/25 and 11/24/25 did not have copies of valid qualification letters on file and available for review at the facility.”

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

Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually.

“Two (2) new staff members, hired on 11/06/25 and 11/10/25, did not have the required Emergency Information Form on file on or before the first day of work.”

Rule Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually.. Corrected during the inspection.

Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies.

“One (1) staff member hired on 11/24/25 did not have a signed and dated statement that they received a job description in their personnel file.”

Rule Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies.. Corrected during the inspection.

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

“It was observed that four (4) new staff members did not have documentation on file of completing at least six clock hours of training in required topic areas within the first two weeks of employment.”

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: Dec 18, 2025. Correction verified: by a letter from the provider.

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.

“It was observed that three (3) new staff members whom were observed to be providing care for children during today’s visit did not have documentation on file that they had reviewed the facility’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy or a signed acknowledgement with all the required information of reviewing this policy prior to providing care for 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: Dec 10, 2025. Correction verified: by a letter from the provider.

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

“During today’s visit an ABA therapist was present providing one on one services to a child. It was confirmed that ABA therapist did not have a qualifying CBC letter on file at the program.”

Rule A valid qualification letter was not on file and available to review at the facility.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 12, 2025. Correction verified: at a follow-up visit by DCDEE.

All equipment and furnishings were not in good repair.

“In Space #1, the Three/Four-year-old Classroom five (5) books with ripped covers and torn pages were observed present on a bookshelf in the Library Center.”

Rule All equipment and furnishings were not in good repair.. Corrected during the inspection.

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.

“During today’s visit children in the Three/Four year old classroom were observed sitting at the table and on a carpet near this area while waiting for lunch. Upon lunch entering the classroom children began to transition to their seats from the carpet but they were not observed washing hands prior to beginning to eat lunch.”

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: Nov 12, 2025. 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.

“During today’s visit a teacher in the three/four-year-old classroom was overheard using a harsh tone and making statements that did not create a nurturing environment during naptime. The teacher could be overheard telling a crying child to ‘lay down there’s nothing wrong with you’ and ‘I’m not going to pat your back if you don’t act right’. The teacher was also overheard telling a child ‘If you don’t stop I’m going to come and take my sticker back’.”

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: Nov 12, 2025. Correction verified: at a follow-up visit by DCDEE.

For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule.

“During today’s visit while monitoring the Two-year-old classroom, seven (7) of the nine (9) children present were observed sitting at one table for approximately fifteen (15) minutes with no activities accessible while waiting for lunch.”

Rule For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule.. Corrected during the inspection.

For children under two years of age, time and space for sleeping, eating, toileting, diaper changing, and playing was not provided according to child’s needs.

“During today’s visit six (6) children including two (2) infants were observed sitting stationary and strapped into a Bye Bye Buggy for an extended period of time in the School Age class near the classroom’s Creative Art Center, while the two (2) staff members present were observed sitting at tables nearby observing Picture Day activities.”

Rule For children under two years of age, time and space for sleeping, eating, toileting, diaper changing, and playing was not provided according to child's needs.. Corrected during the inspection.

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

“Two (2) staff members, the Infant teacher and the program’s cook, were observed present with eleven (children) children including four (4) infants and older preschool-aged children.”

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: Nov 12, 2025. Correction verified: at a follow-up visit by DCDEE.

Prior to employment a Criminal Background Check was not completed.

“During today’s visit an ABA therapist assigned to provide one on one services to a child in the three/four-year-old class was observed taking that child out of the classroom into the lobby twice. It was confirmed that ABA therapist did not have a qualifying CBC letter on file at the program.”

Rule Prior to employment a Criminal Background Check was not completed.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 12, 2025. Correction verified: at a follow-up visit by DCDEE.

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.

“It was observed that the staff member hired on September 09, 2025 did not have a medical report on file prior to employment that was signed by a health care professional and was not older than 12 months.”

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 19, 2025. 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.

“It was observed that the staff member hired on September 09, 2025 did not have results on file indicating they were free of active TB and/or a TB test or screening that was not older than 12 months.”

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 19, 2025. 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.

“Five (5) children’s files were monitored. It was observed that one (1) child did not have a complete Shaken Baby Acknowledgement form on file.”

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

A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center.

“Five (5) children’s files were monitored. It was observed that one (1) child under twelve months of age did not have a completed program specific Safe Sleep policy on file.”

Rule A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 6, 2025. Correction verified: at a follow-up visit by DCDEE.

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

“In Spaces #1, #4 and #6 it was observed that there was no current lesson plan posted or available for reference.”

Rule A current activity plan was not posted for each group of children for reference.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 6, 2025. Correction verified: at a follow-up visit by DCDEE.

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

“In the outdoor learning environment it was observed on the Toddler playground that the presence of an uneven cemented seating area and exposed tree roots creates multiple tripping hazards.”

Rule A safe indoor and outdoor environment was not provided for the children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 20, 2025. Correction verified: by a letter from the provider.

All equipment and furnishings were not in good repair.

“In Space #1 nine (9) books were observed present in the classroom’s Library Center on the bookshelf and accessible to children, five (5) of these books were observed in poor repair with torn pages and missing covers. It was also observed while monitoring the classroom that nine (9) foam blocks with visible teeth imprints and bite marks were accessible in the Block Center.”

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

All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement.

“Medical files were monitored for staff members. It was observed that neither of the two (2) veteran staff members had an annual health questionnaire on file following the initial medical statement.”

Rule All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 6, 2025. Correction verified: at a follow-up visit by DCDEE.

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.

“Medical files were monitored for staff members. It was observed that two of the three newest staff members did not have medical reports on file prior to employment that were signed by a health care professional.”

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

Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually.

“Emergency information was monitored. It was observed that one (1) veteran staff member did not have documentation on file that the required Emergency Information Form was updated as changes occur and at least annually.”

Rule Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 6, 2025. Correction verified: at a follow-up visit by DCDEE.

Each child’s bed, cot, or 2” mat was not individually assigned and identified.

“In Space #1 it was observed that the posted cot list still included children no longer enrolled in that classroom.”

Rule Each child's bed, cot, or 2" mat was not individually assigned and identified.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 6, 2025. Correction verified: at a follow-up visit by DCDEE.

Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies.

“It was observed that three new staff members did not have signed and dated statements on file that they had received a job description and that they have reviewed personnel and operational policies.”

Rule Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 6, 2025. Correction verified: at a follow-up visit by DCDEE.

Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan.

“It was observed that two (2) veteran staff members, one of which hired in March 1995 and the other hired in March 2024, did not have had a completed annual staff evaluation and a staff development plan in their personnel file.”

Rule Each employee's personnel file did not contain an annual staff evaluation and a staff development plan.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 11, 2025. 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.

“While reviewing onboarding and training information it was observed that one (1) new staff member, whom had been hired on July 07, 2025, did not have did not have documentation of completing six clock hours of training in required topic areas, within the first two weeks of employment.”

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 8, 2025. Correction verified: by a letter from the provider.

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

“Five (5) children’s files were monitored. It was observed that one (1) child did not have a completed application on file including emergency medical care information.”

Rule Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 6, 2025. Correction verified: at a follow-up visit by DCDEE.

Incident logs were not completed and maintained as required.

“The program’s incident log was reviewed. It was observed that twenty-five (25) incident reports had been completed between the program’s last annual compliance visit and today but not had been documented on the facility’s Incident log.”

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 6, 2025. 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.

“The program’s incident log was reviewed. It was observed that twenty-five (25) incident reports that had been completed between the program’s last annual compliance visit and today were currently being stored together in a binder labeled Incident Report Forms/Incident Log Sheet and not in individual children’s files, as required.”

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

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

“Five (5) children’s files were monitored. It was observed that one (1) child did not have a completed medical assessment on file.”

Rule Medical exam or health assessment record was not on file before or within 30 days after admission.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 6, 2025. Correction verified: at a follow-up visit by DCDEE.

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

“Medication was monitored during today’s visit. It was observed that two children had emergency medication present that did not have current completed Permission to Administer forms on file.”

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

New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks.

“While reviewing onboarding and training information it was observed that two (2) of the three new staff members, one of which was hired on February 10, 2025 and the other June 16, 2025, each have contact with children, but neither had documentation of receiving at least 16 hours of orientation within the first 6 weeks of employment.”

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 6, 2025. 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 program’s last approved Fire Inspection on file was conducted on June 05, 2024. This was due to take place either on or before June 04, 2025 but it did not occur.”

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: Aug 7, 2025. 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.

“Five (5) children’s files were monitored. It was observed that one (1) child did not have a complete center specific discipline policy on file including the child’s date of enrollment.”

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: Aug 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 #6, the Two-year-old Classroom, a plastic shopping bag containing soiled clothing was observed being stored on the floor of a cubby accessible to children and seven (7) books in visible poor repair with ripped pages were observed being utilized by children during a quiet time activity.”

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: Aug 6, 2025. 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.

“Program records were monitored. It was observed that quarterly emergency drills (lock-down/shelter in place) had not occurred for the past twelve months, as required. There was an emergency drill due to take place in October 2024 but the next one did not occur until January 2025.”

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

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.

“In the outdoor learning environment vegetation was observed overgrown on each of the four (4) playgrounds monitored. Active spider webs were observed on both the School-Age playground and the Three and Four-year-old playground.”

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

The EMC plan was not reviewed with all staff annually and whenever the plan was revised.

Rule The EMC plan was not reviewed with all staff annually and whenever the plan was revised.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 6, 2025. Correction verified: at a follow-up visit by DCDEE.

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

“The program’s EPR and Ready to Go File was monitored. It was observed that neither had been updated, as required, or contained the required documentation for both children and staff.”

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: Aug 11, 2025. 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.

“Medication was monitored during today’s visit. It was observed that one child had emergency medication present that did not have a current Medical Action Plan on file.”

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

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.

“It was observed that two (2) new staff members did not have a signed acknowledgement of reviewing the facility’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy with all the required information on file prior to providing care for 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: Aug 6, 2025. 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.

“While monitoring the personnel files of the two (2) veteran staff members’ it was observed that neither had documentation on file for having reviewed the facility’s EPR Plan on an annual basis with the trained staff.”

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 11, 2025. 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.

“In Space #4, the Infant Classroom, a bottle of hand sanitizer with the warning “Keep Out of the Reach of Children” accompanied by other warnings printed on the label was observed being stored on a shelf.”

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.. Corrected during the inspection.

All staff records, except financial records, were not made available for review.

“Three (3) new staff members’ files were monitored. It was observed that one new staff member hired on September 25, 2024 did not have a file available for review.”

Rule All staff records, except financial 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 18, 2024. Correction verified: by a letter from the provider.

Application for employment and date of birth was not on file for all staff.

“Three (3) new staff members’ files were monitored. It was observed that one staff member hired on August 24, 2024 did not have a completed application on file.”

Rule Application for employment and date of birth was not on file for all staff.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 18, 2024. Correction verified: by a letter from the provider.

Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies.

“Three (3) new staff members’ files were monitored. It was observed that one staff member hired on August 24, 2024 did not have documentation on file of having reviewed personnel or operational policies, as required.”

Rule Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 18, 2024. 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.

“Three (3) new staff members’ files were monitored. It was observed that one staff member hired on August 24, 2024 did not have documentation on file of having completed six (6) hours of orientation during the first two weeks of employment, as required.”

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

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

“Medication was monitored and it was observed that one child requiring two emergency medications for a chronic medical condition did not have completed permissions to administer medications forms on file, as required.”

Rule Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.. Corrected during the inspection.

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

“Monthly outdoor inspections were reviewed and it was observed that the last one had occurred in August 2024. An outdoor inspection had not been completed in September 2024, as required.”

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: Oct 10, 2024. 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.

“Three (3) new staff members’ files were monitored. It was observed that one staff member that transferred from another sister facility in August 2024 did not have documentation on file for completing sixteen (16) hours of orientation within the first six weeks of employment, as required.”

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

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

“In Space #2 it was observed that a Toddler listed on the school’s allergy list had a Medical Action Plan present that listed two emergency medications but there was only one (1) emergency medication was onsite.”

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 13, 2024. Correction verified: by a letter from the provider.

A written statement from each child’s parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available.

“Two (2) children’s files were monitored. It was observed that neither child had completed permissions to travel out the fence forms on file.”

Rule A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 13, 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.

“In Space #4 the classroom’s First Aid kit was monitored and it was observed that two ice packs each with the warning Keep Out of the Reach of children accompanied by other warnings were present and accessible to children.”

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.. Corrected during the inspection.

Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan.

“Five (5) staff files were monitored. It was observed that one veteran staff did not have documentation of completing either an annual staff development plan or annual staff evaluation in the past year, as required.”

Rule Each employee's personnel file did not contain an annual staff evaluation and a staff development plan.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 13, 2024. Correction verified: by a letter from the provider.

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

“In Space #2 it was observed that a Toddler did not have a completed Permission to Administer form on file for either of the required medications listed on their Medical Action Plan.”

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: Aug 13, 2024. 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.

“Five (5) staff files were monitored. It was observed that one staff member hired in May 2024 did not have documentation on file for having successfully completed the required sixteen hours of training within her first six weeks of employment.”

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 13, 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.

“Two (2) children’s files were monitored. It was observed that neither child had completed parent statements pertaining to the facility’s Discipline policy with all the required information.”

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: Aug 13, 2024. Correction verified: by a letter from the provider.

The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests.

“The outdoor learning environment was monitored. A blue plastic chair with multiple cracks in the seat and broken tree branches were observed present on the School-Age playground and accessible to children. It was also observed that there was trash and broken toys present inside the gated area of the air conditioning unit.”

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 13, 2024. Correction verified: by a letter from the provider.

The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with parents of currently enrolled children 0-5 within 30 days of adopting the policy.

“Two (2) children’s files were monitored. It was observed that neither child had a signed and dated statements on file for the review of the facility’s Shaken Baby policy.”

Rule The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with parents of currently enrolled children 0-5 within 30 days of adopting the policy.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 13, 2024. Correction verified: by a letter from the provider.

The written feeding plan was not modified as the child’s needs changed.

“In Space #4 Infant Feeding Schedules were monitored and it was observed that two (2) children under fifteen months of age had Infant Feeding Schedules on file that did not reflect their current dietary needs.”

Rule The written feeding plan was not modified as the child's needs changed.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 13, 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.

“In Space #1 it was observed that one (1) bottle of restroom cleaner with the warning Keep out of the reach of children and accompanied by other warnings were observed stored in an unlocked closet on a shelf less than five (5) feet from the floor.”

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.. Corrected during the inspection.

Application for employment and date of birth was not on file for all staff.

“Four (4) new staff members’ files were monitored. It was observed that two (2) new staff members hired on May 28, 2024 and April 15, 2024 did not have applications for employment on file.”

Rule Application for employment and date of birth was not on file for all staff.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 3, 2024. Correction verified: by a letter from the provider.

Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies.

“Four (4) new staff members’ files were monitored. It was observed that one (1) new staff member hired on April 15, 2024 did not have a signed and dated statement on file that they had received a job description and that they have reviewed personnel and operational policies.”

Rule Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 3, 2024. Correction verified: by a letter from the provider.

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

“In Space #2 it was observed that there were three (3) topical medications present with incomplete medication authorization forms that did not include all the required information.”

Rule Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.. Corrected during the inspection.

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.

“Four (4) new staff members’ files were monitored. It was observed that one (1) new staff member hired on May 28, 2024 did not have documentation on file that they had provided results indicating they were free of active TB and/or TB test or screening either on or before the first day of work that was not older than 12 months.”

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: Jul 3, 2024. Correction verified: by a letter from the provider.

Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection.

“Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was conducted and approved on June 03, 2024 but it was not submitted to the facility’s Child Care Consultant within one week of the inspection, as required. It was also observed that inspection was due to be conducted either on or before May 10, 2023 as the prior one had been conducted and approved on May 11, 2023.”

Rule Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection.. Corrected during the inspection.

All records required were not available for review by a representative of the Division.

“Two new staff members were observed in Space #6 (L. Stout) and Space #8 (L. Davis). Upon requesting their files for review I was reminded that the front office was locked and the acting administrator, P. Caldwell, did not have access to them.”

Rule All records required were not available for review by a representative of the Division.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 9, 2024. Correction verified: by a letter from the provider.

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.

“During the walk through it was observed that there was an unused electrical outlet on a power strip located near the copy machine in the lobby not covered with safety plug.”

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.

The license was not posted in a prominent place at all times.

“It was observed during the walk through that the facility’s previously issued three star rated license was posted and the provisional license issued on April 24, 2024 was not posted, although it had been received by the facility on April 29. 2024.”

Rule The license was not posted in a prominent place at all times.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 9, 2024. Correction verified: by a letter from the provider.

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

“In Space #4 two (2) cots used for napping were observed stored underneath the two (2) cribs used for emergency evacuations.”

Rule A safe indoor and outdoor environment was not provided for the children.. Corrected during the inspection.

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.

“In Space #1 one (1) container of disinfectant wipes and one (1) bottle of restroom cleaner each with the warning Keep out of the reach of children and accompanied by other warnings were observed stored in an unlocked closet on a shelf less than five (5) feet from the floor.”

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.. 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.

“In Space #3 two (2) unused electrical outlets were observed not covered when not in use and in Space #6 one (1) unused electrical outlet was observed not covered when not in use.”

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.

School-aged children were not adequately supervised.

“An unaccompanied School Age child was observed in Space #6, the Afterschool room, for approximately two (2) minutes alone.”

Rule School-aged children were not adequately supervised.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 20, 2024. Correction verified: by a letter from the provider.

The child care provider and/or household member who incurred pending charges, indictments, or convictions since their last qualification letter was issued by the Division, did not notify the operator of these charges within five business days or before returning to work.

“The operator did not notify the Division of these pending charges, indictments, or convictions within one business day of being notified by the child care provider or household member. Based on two (2) staff interviews there is evidence that an employee was arrested in February 2024 for driving while under the influence and this information was not shared with the operator.”

Rule The child care provider and/or household member who incurred pending charges, indictments, or convictions since their last qualification letter was issued by the Division, did not notify the operator of these charges within five business days or before returning to work.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 7, 2024. Correction verified: by a letter from the provider.

School-aged children were not adequately supervised.

“An unaccompanied School Age child was observed arriving to the facility, entering the facility and heading into Space #6, the Afterschool classroom.”

Rule School-aged children were not adequately supervised.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 13, 2024. Correction verified: by a letter from the provider.

Children were not adequately supervised at all times.

“Based on staff interviews and a review of the facility’s CSR (Child Supervision Record) there is evidence of a violation of childcare requirements related to a child or children not being adequately supervised.”

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

Children were not adequately supervised at all times.

“A two year old child was left unattended on a playground when the child’s class transitioned back into the building.”

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 21, 2023. Correction verified: by a letter from the provider.

A child was yelled at, shamed, humiliated, frightened, threatened or bullied.

“On November 16, 2023, a staff member sprayed three children between the ages of three and four-years-old in the face with water in effort to scare them.”

Rule A child was yelled at, shamed, humiliated, frightened, threatened or bullied.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 28, 2023. Correction verified: by a letter from the provider.

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

“On November 21, 2023, a staff member didn’t have a qualification letter on file and available to review.”

Rule A valid qualification letter was not on file and available to review at the facility.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 28, 2023. Correction verified: by a letter from the provider.