All Smiles Child Care Center

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

“I observed a teacher with seven (7) children, ages one (1) to two (2) years old, in space #5 for several minutes until the second teacher returned with an eighth child.”

Rule Enhanced staff/child ratios and group sizes were not met.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 22, 2026. Correction verified: by a letter from the provider.

A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center.

“There was no documentation on file that a child enrolled 7/6/22 received or reviewed the NC summary of child care law.”

Rule A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 30, 2025. Correction verified: by a letter from the provider.

Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services.

“There was no medical action plan on-site for a child with asthma in space #3.”

Rule Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 30, 2025. 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.

“Staff hired 1/6/2020 did not have a medical report, completed by a health care professional, on file.”

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: Dec 30, 2025. 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.

“There was an uncovered outlet by shelving 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.

A child’s hands were not washed after each diaper change.

“A child’s hands were not washed directly after a diaper change in space #7.”

Rule A child's hands were not washed after each diaper change.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 21, 2025. Correction verified: by a letter from the provider.

All equipment and furnishings were not in good repair.

“Blue slide attached to play equipment in the middle of the large outdoor play area has several cracked areas at the exit.”

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

All equipment and furnishings were not in good repair.

“Three (3) large play equipment pieces with slides have red and while rails that are peeling/chipping paint on both playgrounds.”

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

Children’s records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child.

“The child enrolled 2/1/22 does not have a medical report on file.”

Rule Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child.. 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.

Operational policies were not discussed with parents on or before the child’s first day and/or they were not notified in writing of all changes.

“There is no documentation that parents received the center’s operational policies on or before enrollment for the child enrolled 8/5/24.”

Rule Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes.. 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.

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 required fire inspection was not completed within twelve (12) months of the previous one.”

Rule Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 20, 2025. Correction verified: by a letter from the provider.

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.

“The staff person hired 8/28/24 did not have an emergency information form on file.”

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.