Learn As We Grow

A drug or medication was administered without written authorization and/or instructions from a child’s parent or authorized health professional.

“A child enrolled in space #4 had an Epi-Pen on file without written permission from the parent.”

Rule A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 2, 2026. Correction verified: by a letter from the provider.

All vehicles used to transport children were not free of hazards.

“The tire tread of the front passenger tire of van was less than 2/32 of an inch.”

Rule All vehicles used to transport children were not free of hazards.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 2, 2026. Correction verified: by a letter from the provider.

Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional.

“A child enrolled in space #4 had an Epi-Pen on file without the prescription labeled box.”

Rule Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician 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: Jun 2, 2026. 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: Jul 28, 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.

“A staff member hired on 6/30/25 did not have documentation of orientation on file.”

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: Jul 28, 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.

“A staff member hired on 6/30/25 had a TB screening form on file that was not signed by a physician and medical report of TB skin test dated 6/3/22.”

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 28, 2025. Correction verified: by a letter from the provider.

All children were not held or placed in feeding chairs or other appropriate apparatus to be fed.

“In space #1, a child was observed sitting in a bouncer chair and a second child was observed swinging in a swing drinking bottles of milk.”

Rule All children were not held or placed in feeding chairs or other appropriate apparatus to be fed.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 22, 2025. Correction verified: by a letter from the provider.

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 5/20/24 had certification of CPR that expired 5/25.”

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: Jun 22, 2025. 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 5/20/24 had certification of First Aid that expired 5/25.”

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: Jun 22, 2025. Correction verified: by a letter from the provider.

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

“A child enrolled in space #2 had a bottle of Studio Selection Sunscreen for Babies on file with written permission from the parent that expired on 5/9/25.”

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: Jun 23, 2025. Correction verified: by a letter from the provider.

Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container.

“In space #3, a prescription bottle of Triamcinolone Acetonide Ointment was located on a shelf above the changing table.”

Rule Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 23, 2025. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“In space #3, a prescription bottle of Triamcinolone Acetonide Ointment had written permission on the over-the-counter form for topical ointments.”

Rule Parent's medication authorization did not include required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 23, 2025. Correction verified: by a letter from the provider.

Prescribed medication was not administered according to the prescription, using the amount and frequency of dosage specified on the label.

“In space #3, a prescription bottle of Triamcinolone Acetonide Ointment had a prescription stating that it should be used for one (1) week.”

Rule Prescribed medication was not administered according to the prescription, using the amount and frequency of dosage specified on the label.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 23, 2025. Correction verified: by a letter from the provider.

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

“In outdoor space #3, the storage bench’s seat was broken with multiple pinch points.”

Rule A safe indoor and outdoor environment was not provided for the children.. 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 10/28/2024 had a CPR Certification from an unapproved agency.”

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: Feb 21, 2025. 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 10/28/2024 had a First Aid Certification from an unapproved agency.”

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

Emergency and identifying information, including the child’s name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported.

“Three (3) out of the eleven (11) children transported did not have a photograph attached to their emergency contact information.”

Rule Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported.. Corrected during the inspection.

Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider.

“The permission forms on file for off premise activities during the week of June 24- June 28, 2024, did not include the arrival and departure times.”

Rule Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider.. Corrected during the inspection.

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 2/26/24 had a medical report dated 2/28/24.”

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: Jul 8, 2024. Correction verified: by a letter from the provider.

Emergency and identifying information, including the child’s name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported.

“Children enrolled in space #4, were transported to the library on June 24, 2024 and did not have photographs attached to their emergency contact information.”

Rule Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported.. Corrected during the inspection.

Staff did not use the list of participating children to check attendance when leaving the center, periodically when the children were involved in the activity, before leaving the activity to return to the center, and/or upon return to the center.

“When transporting children on an off-premise activity on June 28, 2024, a list of participating children to check attendance was not used.”

Rule Staff did not use the list of participating children to check attendance when leaving the center, periodically when the children were involved in the activity, before leaving the activity to return to the center, and/or upon return to the center.. Corrected during the inspection.

The depth of the loose surfacing was not based on critical height of the equipment.

“Mulch under the stationary climber on the preschool and school age playground was a depth of two inches rather than the required six inches.”

Rule The depth of the loose surfacing was not based on critical height of the equipment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 31, 2024. Correction verified: by a letter from the provider.