Smilin’ Faces Child Care

Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission.

“One (1) out of the four (4) children’s files reviewed was missing an immunization record.”

Rule Each child was not immunized as per Article 6 of Chapter 130A and an immunization 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: Sep 14, 2026. Correction verified: by a letter from the provider.

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

“One (1) out of the four (4) children’s files reviewed was missing a medical report.”

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: Sep 14, 2026. 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.

“In space #3, I observed two large missing ceiling tiles exposing the room to the roof with a visible hole. I also observed water in the light fixtures and containers on the floor to catch active water leaking into the classroom space. Nine (9) children, 2 years of age, were in care with two staff members in this space.”

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: Jul 30, 2026. Correction verified: by a letter from the provider.

All equipment and furnishings were not in good repair.

“One corner of the garden container was broken with exposed sharp edges.”

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: Mar 16, 2026. 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.

“A child enrolled in space #4, had asthma listed on their application. A medical action plan was not on file for review.”

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: Mar 16, 2026. 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 back gate to the playground space from the parking lot was open and unable to stay closed while children were playing in the space.”

Rule Gates to the fenced outdoor play area did not remain closed while children occupied the area.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 16, 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.

“One infant had a feeding schedule posted that was not complete.”

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: Mar 16, 2026. Correction verified: by a letter from the provider.

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

“A play therapist that was observed working with a child in space #2, did not have a qualification letter on file.”

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: Sep 25, 2025. Correction verified: by a letter from the provider.

Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance).

“The administrator’s qualification letter expired on May 27, 2025, and the five-year renewal qualification letter was issued on September 8, 2025.”

Rule Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance).. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 25, 2025. Correction verified: by a letter from the provider.

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

“In space #6, a staff member left the classroom space and walked into the staff room so that thirteen (13) children 3-5 years of age were in care with one staff member.”

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: Apr 2, 2025. Correction verified: at a follow-up visit by DCDEE.

Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month.

“A child was observed sleeping in a crib and upon review of the safe sleep chart, there was not any documentation to reflect the times the child had been sleeping.”

Rule Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 17, 2024. Correction verified: by a letter from the provider.

Drinking water was not freely available to children of all ages.

“Drinking water was not readily available for the children in space #3 while they were in the outdoor space.”

Rule Drinking water was not freely available to children of all ages.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 17, 2024. 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.

“While space #3 was in the outdoor space, a staff member did not wash their hands after wiping a child’s nose. The staff member proceeded to wipe other children’s noses.”

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

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

“In space #3, ten (10) children, ages 1-2, were in care with one teacher.”

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: Apr 29, 2024. Correction verified: at a follow-up visit by DCDEE.

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

“Jessica Henries was hired on 3/25/24 and did not have a qualification letter on file 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: Apr 22, 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 #3, a container of Zep wipes was sitting on a shelf beside the children’s cubbies.”

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 did not successfully complete certification in CPR training appropriate to the age of the children in care.

“Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member hired on 2/10/11 had CPR certification on file that expired 3/2024.”

Rule All staff did not successfully complete certification in CPR training appropriate to the age of the children in care.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 25, 2024. Correction verified: by a letter from the provider.

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

“Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member hired on 2/10/11 First Aid certification on file that expired 3/2024.”

Rule All staff did not successfully complete certification in First Aid appropriate to the age of children in care.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 25, 2024. Correction verified: by a letter from the provider.

Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month.

“A child was observed sleeping in a crib and upon review of the safe sleep chart, there was not any documentation to reflect the times the child had been sleeping.”

Rule Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 22, 2024. Correction verified: by a letter from the provider.

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

“In space #3, thirteen (13) children, ages 1-2, were in care with two staff members.”

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: Apr 29, 2024. Correction verified: at a follow-up visit by DCDEE.

Prior to employment a Criminal Background Check was not completed.

“Jessica Henries was hired on 3/25/24 and did not have a qualification letter to review.”

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: Apr 22, 2024. Correction verified: by a letter from the provider.

The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities.

“The emergency medical care plan was dated 1/10/23 and was not updated to reflect current staff employed in the facility.”

Rule The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 22, 2024. Correction verified: by a letter from the provider.

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

“In space #1, two (2) out of nine (9) feeding plans were not updated to reflect the intake of table 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: Apr 22, 2024. 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.

“A staff member hired on 11/1/23 did not have a medical report on file to review.”

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 11, 2023. Correction verified: by a letter from the provider.