Alannah’s Playhouse LLC

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

“In Space 2, diazepam was stored in a child’s backpack on a hook in a cubby that was less than five feet off the floor and accessible to children.”

Rule Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container.. Corrected during the inspection.

Prohibited Styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision.

“In Space 3, milk was served in Styrofoam cups to children younger than three years of age.”

Rule Prohibited Styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision.. Corrected during the inspection.

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

“In space #3, written authorization for a tube of A&D ointment was not available for review.”

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: May 19, 2026. Correction verified: by a letter from the provider.

All openings to the outer air were not protected against the entrance of flying pest.

“The door leading to the outside in space #2 & 3 was blocked open with a door stop”

Rule All openings to the outer air were not protected against the entrance of flying pest.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 19, 2026. Correction verified: by a letter from the provider.

Center did not maintain a record of daily attendance.

“In space #3, seven (7) children were documented in attendance however there were eight (8) children present.”

Rule Center did not maintain a record of daily attendance.. Corrected during the inspection.

Rule violated (DCDEE’s description below)

“A drug or medicine was administered after its expiration date. . In space #3, a tube of A&D ointment expired on September 2024.”

Rule Rule violated (DCDEE’s description below). Corrected during the inspection.

The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment.

“An individual hired on 8/22/25 completed Recognizing and Responding to Suspicions of Child Maltreatment on 12/7/25. An individual hired on 6/9/25 has not completed Recognizing and Responding to Suspicions of Child Maltreatment.”

Rule The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 29, 2026. Correction verified: by a letter from the provider.

An individual written feeding plan was not provided by child’s parent or health care provider or was not followed and posted.

“(omit posting for centers located in a residence). An individual written feeding plan was unavailable for a child less than 15 months of age in space 1.”

Rule An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 14, 2025. Correction verified: by a letter from the provider.

Authorization for emergency medical care information was not signed by child’s parent.

“No parent signature was obtained on a child’s application for enrollment authorizing emergency medical care.”

Rule Authorization for emergency medical care information was not signed by child's parent.. Corrected during the inspection.

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.

“Documentation of visual sleep checks was not available for an infant present on November 10, 2025 from 8:45am-2:50pm.”

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: Nov 14, 2025. Correction verified: by a letter from the provider.

Center did not maintain a record of daily attendance.

“In space 3, seven (7) children were present; however, only five (5) children were documented on the daily attendance.”

Rule Center did not maintain a record of daily attendance.. Corrected during the inspection.

Emergency medical care information did not contain information needed for safe medical treatment.

“The emergency medical care section of one child’s application out of eight audited was blank.”

Rule Emergency medical care information did not contain information needed for safe medical treatment.. Corrected during the inspection.

At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care.

“The individual working alone today in space 1 designated for the care of infants and one year old children has not completed ITS-SIDS training.”

Rule At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care.. 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.

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 out of two records monitored today did not have an immunization record within 30 days of enrollment.”

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 19, 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.

“An open electrical outlet was observed near the window in space 3.”

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.

Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served.

“The posted menu indicated pancakes, fruit cups and milk were to be served for breakfast; however, cereal, apple slices and milk were served.”

Rule Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 18, 2025. 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 out of two records monitored today did not have a medical record within 30 days of enrollment.”

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 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.

“An individual hired on 8/22/25 did not provide a copy of results indicating they were free of active TB.”

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.. Corrected during the inspection.

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 3 (designated for children two-three years-of-age) a plastic grocery bag used to store a child’s change of clothing was stored in a cubby.”

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

Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory.

“Paper towels were not available in one of the bathrooms located in space 3.”

Rule Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory.. Corrected during the inspection.

Application was not signed by the parent.

“One (1) child application out of four (4) was not signed by the parent.”

Rule Application was not signed by the parent.. Corrected during the inspection.

Children under one year of age were not kept separate from children two years and older.

“An infant and a two-year-old child were grouped together in space 1.”

Rule Children under one year of age were not kept separate from children two years and older.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 17, 2025. Correction verified: at a follow-up visit by DCDEE.

Individual responsible for a group of children did not meet the preservice requirements for a lead teacher or teacher.

“An individual identified as the lead teacher in space 1 does not have a high school diploma.”

Rule Individual responsible for a group of children did not meet the preservice requirements for a lead teacher or teacher.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 17, 2025. Correction verified: at a follow-up visit by DCDEE.