Rehoboth Learning Academy

Gates to the fenced outdoor play area did not remain closed while children occupied the area.

“The gate to the playground was left open. A child, six years of age, was able to run out of the gate and run to the mailbox at the side of the road.”

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

Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review.

“Documentation of arrival times was not available for 5 of 17 children present on September 8, 2026. One parent signed in their three children on another child’s form, so their children’s arrival times were not documented on their own attendance forms. Between September 1, 2026 through September 4, 2026, documentation of departure time was not available for 6 children.”

Rule Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or 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: Sep 22, 2026. 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.

“In one of four children’s files reviewed, documentation of immunizations was not available for a child who had been enrolled since March 9, 2026.”

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 22, 2026. Correction verified: by a letter from the provider.

Emergency information did not name childs health care professional.

“In one of four children’s files reviewed, the parent did not list the name of the child’s health care professional.”

Rule Emergency information did not name childs health care professional.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 22, 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.

“In one of four children’s files reviewed, a health assessment or child’s medical report was not available for a child who had been enrolled since March 9, 2026.”

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 22, 2026. Correction verified: by a letter from the provider.

Menus for all meals and snacks were not current or posted where easily seen by parents and cook.

“The posted menu on the parent bulletin board and in the kitchen were dated August 24, 2026 - August 28, 2026.”

Rule Menus for all meals and snacks were not current or posted where easily seen by parents and cook.. 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.

“The following medications were observed but did not have an accompanying medication permission form: Kids Sport Sunscreen, two (2) Albuterol inhalers, one (1) Ventolin inhaler, two (2) unlabeled inhalers, one (1) Diazapam nose spray, one (1) Epi-pen, one (1) unidentified lotion.”

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

A drug or medicine was administered after its expiration date.

“In Space 1, an Epi-pen stored in the medication box expired in December 2024. An inhaler stored in a child’s backpack expired in November 2025.”

Rule A drug or medicine was administered after its expiration date.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 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 current qualification letter was not available for a staff member with a qualification letter that expired on July 12, 2026.”

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: Aug 16, 2026. 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.

“Febreze Aerosol Spray, bleach, Windex, Fabuloso, Simple Green, and other cleaners and an aerosol can of Clean Kids Sports Sunscreen were stored in an unlocked cabinet in an unlocked storage closet in Space 1. In Space 2, the battery cover on a play cash register was off, making the AA battery accessible to children.”

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 equipment and furnishings were not in good repair.

“On the playground two “feet” on the caterpillar tunnel were cracked, creating sharp edges. The connections on the head and tail of the caterpillar tunnel were loose, compromising the integrity of the play equipment. A crack in a plastic “stump” used for sitting or balancing created a pinch point. A soccer ball was shredded, making it unusable for play.”

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: Aug 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 medical action plan was not available for two inhalers maintained in a child’s backpack.”

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

Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review.

“Documentation of arrival was not available for the twenty-five (25) children present today.”

Rule Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or 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 16, 2026. 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 1, two (2) inhalers were maintained in a child’s backpack in a cubby within reach of children, and a bottle with a white substance labeled “lotion” was maintained in a child’s backpack within reach of children.”

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

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 criminal background check for a staff member expired on July 12, 2026. A new criminal background check has not been completed.”

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: Aug 16, 2026. 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 at the handwashing sinks in the men’s bathroom and the kitchen.”

Rule Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 16, 2026. Correction verified: by a letter from the provider.

The center’s safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily.

“A safe sleep poster or a copy of the facility’s safe sleep policy was not posted in the infant room.”

Rule The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 16, 2026. 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.

“Litter, such as food wrappers and plastic bottles, was not picked up before children went outdoors. The fenced HVAC unit enclosure had grass that was over one foot tall and was used to discard broken toys, creating conditions that could attract pests.”

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

The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91.

“The door used as a fire exit for Space 3 (classroom for infants/toddlers) was locked and required a key to open it. A key was not immediately available to unlock the door, preventing its use as an emergency exit.”

Rule The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91.. Corrected during the inspection.

The medical action plan was not updated on an annual basis or when changes to the plan were made by the child’s parent or health care professional.

“Medical action plans expired and were not updated for a Ventolin inhaler, completed on March 4, 2025, and an Epi-pen, completed on June 10, 2025.”

Rule The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent 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: Aug 16, 2026. Correction verified: by a letter from the provider.