Opendoor Preschool, Winterville

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

“There was one canister of Cetaphil Moisturizing Cream located in space #9 where an valid authorization form could not be found.”

Rule A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional.. Corrected during the inspection.

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.

“There was one canister of pepper spay stored in the closet, above five feet in space #6. The was one canister of Simply Done Disinfectant Wipes and one can of Aerosol Contact Insecticide located in an unlocked cabinet, above five feet in space #9.”

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.

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.

“Staff employed on 8/25/26 had medical report on file dated 9/17/26.”

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

Equipment and furnishings were not sturdy, stable and free of hazards.

“One toilet in space #7 and one toilet in space #3 did not have a cover on the tank.”

Rule Equipment and furnishings were not sturdy, stable and free of hazards.. Corrected during the inspection.

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.

“Staff employed on 6/22/26 had a TB skin test results dated 9/15/26.”

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

Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection.

“Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection was completed on January 16, 2026, however the inspection report was submitted on September 24, 2026, during the visit.”

Rule Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 30, 2026. Correction verified: by a letter from the provider.

A drug or medicine was administered after its expiration date.

“One tube of A&D Ointment in space #6, expired 3/2026.”

Rule A drug or medicine was administered after its expiration date.. Corrected during the inspection.

Equipment and furnishings were not sturdy, stable and free of hazards.

“In space #5, a screw was exposed in the bottom shelf of the kitchen set.”

Rule Equipment and furnishings were not sturdy, stable and free of hazards.. Corrected during the inspection.

A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking.

“On October 14, 2025, a staff member, grabbed and pushed a one-year old in a rough manner in response to the child attempting to pinch and bite another child. After grabbing the child’s hands, the staff member put her hands on the child’s legs. Immediately following the incident, temporary red marks were observed on the child’s inner thighs.”

Rule A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 14, 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.

“One bottle of Expo White Board Care spray and one bottle of Zevo Insect Killer spray was located on the bottom shelf of an unlocked closet in space #2.”

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, including the director, did not have an annual health questionnaire on file following the initial medical statement.

“Staff employed on 12/14/24, 8/20/19, 9/12/24, 4/15/23, and 4/3/23 did not have a current annual health questionnaire on file for review.”

Rule All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 1, 2025. 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.

“Staff employed on 10/7/25 had medical reports on file dated 6/14/23 and 11/5/25.”

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 1, 2025. Correction verified: by a letter from the provider.

Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually.

“Staff employed on 12/14/24, 8/20/19, 9/12/24, 4/15/23, and 4/3/23 did not have an updated Emergency Information Form on file for review.”

Rule Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 1, 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.

“A child enrolled on 11/20/23 had an immunization record on file dated 1/5/24.”

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: Dec 1, 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.

“Child enrolled on 11/20/23 had a health assessment on file dated 1/5/24. Child enrolled on 10/24/24 had a health assessment on file dated 11/27/24.”

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: Dec 1, 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.

“One tube of A&D ointment, Desitin, Triple Paste, Boudreaux Butt Paste, and two tubes of Aquaphor were located in an unlocked drawer, below five feet, in space #1.”

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

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.

“Staff employed on 10/7/25 had had TB screeners dated 6/14/23 and 11/5/25.”

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: Dec 1, 2025. 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.

“One September 24, 2025, an infant enrolled in space #6 did not received a bottle at 9:00am and 12:00pm as stated on the written feeding plan.”

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: Oct 6, 2025. Correction verified: by a letter from the provider.

A drug or medicine was administered after its expiration date.

“One tube of Aquaphor Healing Ointments, with an expiration date of 3/2025, was located in space #6.”

Rule A drug or medicine was administered after its expiration date.. Corrected during the inspection.

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

“One panel of the exterior wall, on outdoor space #2.”

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: Jun 24, 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.

“One canister of Aquaphor Healing Ointment was stored on the changing table, below five feet in space #5.”

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

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

“One twin pack of Epinephrine Injection, USP, located in space #9 did not have a pharmacy label on it.”

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 24, 2025. Correction verified: by a letter from the provider.

A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center.

“A child enrolled on 5/11/21 had safe sleep policy on file dated 12/6/21.”

Rule A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 19, 2023. 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 of fifteen children’s records reviewed contained an immunization record dated beyond 30 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: Dec 19, 2023. 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 of fifteen children’s records reviewed contained a medical assessment dated beyond 30 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: Dec 19, 2023. Correction verified: by a letter from the provider.

Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.

“A lockdown drill was conducted on 5/16/23 and a shelter-in-place drill was conducted on 10/31/23, therefore a drill was not practiced every three months.”

Rule Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 19, 2023. Correction verified: by a letter from the provider.