Childcare Network #82

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

“On Tuesday, August 25, 2026, between 2:10 pm -2:20 pm a child two years of age ran out of his classroom and out of the building due to a staff member propping the door open.”

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

All stationary equipment, more than 18 inches high, was not installed over protective surfacing.

“There is a substantial amount of thick grass growing around the exit points of the slides and in front of the bucket swings. In addition, the weed barrier is showing on both the toddler and preschool playgrounds; therefore, 6 inches of mulch is not present.”

Rule All stationary equipment, more than 18 inches high, was not installed over protective surfacing.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 10, 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Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.

“Leftover diaper cream in space 5 was not returned to the parent or discarded after the course of the treatment.”

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medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization..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

“A prescribed inhaler in space 4 was not accompanied by a medication permission form, only an emergency 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: Feb 23, 2026. Correction verified: by a letter from the provider.

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

“Two (2) staff files were not on-site. They were brought over from another location during the visit.”

Rule All staff records, except financial records, were not made available for review.. Corrected during the inspection.

Center staff did not comply with the safe sleep policy.

“An infant was asleep at 11:02 am and her last safe sleep check was recorded at 10:30 am.”

Rule Center staff did not comply with the safe sleep policy.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 18, 2025. Correction verified: by a letter from the provider.

Diaper changing surfaces were not kept free of storage.

“A clip board and attendance sheets were stored on the diapering surface in space 7.”

Rule Diaper changing surfaces were not kept free of storage.. Corrected during the inspection.

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.

“A medication in space 4 was not returned to the parent or discarded after the course of the treatment.”

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: Aug 18, 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.

“Electrical outlets were not covered in spaces 2 and 4. Electrical outlet covers were provided for these rooms during the visit.”

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 materials and equipment indoors and outdoors were not sufficient to provide a variety of play experiences to promote the children’s emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development.

“Outdoor gross motor materials and equipment on the preschool/school aged play ground consisted of seven (7) tricycles and two (2) scooters. There were two (2) ankle skip balls. Also, there were two deflated balls and two disformed hula hoops. All equipment outdoors were not age/developmentally appropriate for school aged children.”

Rule The materials and equipment indoors and outdoors were not sufficient to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 28, 2025. Correction verified: by a letter from the provider.

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

“Staff/child ratios were in compliance during today’s visit; however, it was determined that staff/child ratios were not in compliance on numerous occasions since the last visit was conducted.”

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: May 30, 2025. Correction verified: at a follow-up visit by DCDEE.

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

“On August 9, 2024, a staff member threatened a six-year-old child.”

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: Aug 14, 2024. Correction verified: by a letter from the provider.

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

“On August 9, 2024, a staff member failed to provide a safe environment for a six-year-old child when she handled the child in a rough and inappropriate manner, placing the child at risk of injury and/or harm. As a result of the incident, medical attention was received.”

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 30, 2025. Correction verified: at a follow-up visit by DCDEE.

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

“Two staff member’s files were not 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: Aug 14, 2024. Correction verified: by a letter from the provider.

Child was handled roughly.

“On August 9, 2024, a staff member handled a six-year-old child in a rough and inappropriate manner.”

Rule Child was handled roughly.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 14, 2024. Correction verified: by a letter from the provider.

Discipline was related to food, rest or toileting.

“Children were denied cupcakes at the facility as a disciplinary method while other children were allowed to receive the cupcakes.”

Rule Discipline was related to food, rest or toileting.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 14, 2024. Correction verified: by a letter from the provider.

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

“A staff member was heard using profanity towards a child.”

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 14, 2024. Correction verified: by a letter from the provider.

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

“Staff/child ratios were in compliance during today’s visit; however, it was determined that staff/child ratios were not in compliance on multiple occasions.”

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: May 30, 2025. Correction verified: at a follow-up visit by DCDEE.

There was a substantiation of child maltreatment.

“Pursuant to its investigation, the Division has confirmed sufficient information to determine child maltreatment.”

Rule There was a substantiation of child maltreatment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 30, 2025. Correction verified: at a follow-up visit by DCDEE.

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

“The activity plan in space 1, space 2 and space 5 were dated July 8, 2024-July 12, 2024 and not for the week of July 15,2024-July 19,2024. This is a repeat violation.”

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: Jul 17, 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.

“Used tissues, used popsicle tubes, broken and crushed plastic cups, discarded paper towels and other trash was observed on the ground of each fenced playground. Grass along the fences and sandbox has not been cut. The grass is bushy, tall and growing through the fence.”

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

The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of.

“Used tissues, used popsicle tubes, broken and crushed plastic cups, discarded paper towels and other trash was observed on the ground of each fenced playground. Some of the trash had yard debris on top or weeds growing over it indicating it had been there longer than overnight. This is a repeat violation.”

Rule The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of.. 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 current activity plan was not posted for each group of children for reference.

“In space #1 the activity plan was dated April 22, 2024 through April 26, 2024.”

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: May 16, 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.

“Lysol disinfect arenol spray was observed in space #7 in an unlocked cabinet.”

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: May 16, 2024. Correction verified: by a letter from the provider.

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

“Medication administration permission form for the epi-pen in space 2 expired March 18, 2024. The medication administration permission form for the Benadryl in space 2 was not 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: May 16, 2024. 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.

“A caregiver from space #7 was drinking iced coffee on the playground while supervising children.”

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: May 16, 2024. Correction verified: by a letter from the provider.

The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of.

“Garbage was observed On the playground adjacent to space 2 and 3.There were pieces of used Styrofoam plates, crushed plastic cups, used band aid, and paper trash. On the playground adjacent to space 4, discarded tissues were observed along the fence. Some of the garbage had yard debris on top of it indicating it had been there longer than overnight. Repeat violation”

Rule The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 16, 2024. Correction verified: by a letter from the provider.

The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of.

“Garbage including several used forks, food wrappers and paper trash was observed on the playground adjacent to spaces 2 and 3. On the playground adjacent to space 4, discarded tissues were observed along the fence.”

Rule The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 18, 2024. Correction verified: by a letter from the provider.