Angel’s Above Childcare Center

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

“A valid qualification letter was not on file for Betty Monk.”

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

A violation was found for which there is no item number.

“B. Monk, identified as a volunteer, was the sole caregiver for two (2) children zero (0) to one (1) year of age in space #1. This is a violation of a requirement in 10A NCAC 09 .0102(56).”

Rule A violation was found for which there is no item number..

Children between 12 and 24 months of age were grouped with children 3 years of age or older.

“One (1) child, one(1) year of age was present in space #2 with four (4) children three (3) to four (4) years of age.”

Rule Children between 12 and 24 months of age were grouped with children 3 years of age or older..

Children were not adequately supervised at all times.

“Eight children in space #2, one (1) to four (4) years of age, were unattended when the staff member left the classroom and went to the kitchen to retrieve snack and to space #3 to retrieve water.”

Rule Children were not adequately supervised at all times..

Minimum staff/child ratios and group sizes for the number and ages of children in care were not met.

“There were eight (8) children in space #2, one (1) to four (4) years of age, with one staff member.”

Rule Minimum staff/child ratios and group sizes for the number and ages of children in care were not met..

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 TB test results or screener was not on file for volunteer, B. Monk.”

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..

Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter.

“A health questionnaire was not on file for volunteer B. Monk.”

Rule Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter..

Substitutes and volunteers counted in ratio were not informed of the center’s EPR Plan and its location.

“Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. Documentation of notice of the center’s EPR Plan and its location was not on file for review for B. Monk.”

Rule Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location..

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

“A valid qualification letter was not of file for Norkesha Frank.”

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

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. CPR certification for staff employed on 10/9/17 expired on 9/12/26.”

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

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. First Aid certification for staff, Norkesha Frank, expired on 9/12/26.”

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

Center did not maintain a record of daily attendance.

“Attendance records for August 3, 2026 to October 19, 2026 were not available for review during the visit.”

Rule Center did not maintain a record of daily attendance..

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 on file for three children present during today’s visit.”

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..

Minimum staff/child ratios and group sizes for the number and ages of children in care were not met.

“Six (6) children, two to four years of age, present in space #5, were left with an uncompensated adult as the staff member exited the classroom and went to space #2, therefore enhanced staff child/ratios were not followed.”

Rule Minimum staff/child ratios and group sizes for the number and ages of children in care were not met..

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 copy of the TB test or screener was not available for the substitute employed on 7/23/26.”

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..

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).

“Staff employed on 10/9/17 had a qualification letter on file that expired on 9/7/26.”

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)..

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

“In space #2, one tube of Desitin was stored in the unlocked cabinet, below 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: Jul 30, 2026. Correction verified: by a letter from the provider.

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

“In space #5, the authorization for Ventolin HFA expired on 6/5/26.”

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: Jul 31, 2026. Correction verified: by a letter from the provider.

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

“One staff was present with eleven (11) children, 3 years of age to seven years of age, in space #4.”

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: Jul 23, 2026. Correction verified: at a follow-up visit by DCDEE.

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

“One tube of Desitin was stored in an unlocked cabinet below the changing table in space #2.”

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

On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102.

“Staff employed on 10/9/17 did not complete on-going training on the health and safety training topics.”

Rule On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 31, 2026. Correction verified: by a letter from the provider.

Screen time was offered to children under three years of age.

“In space #2, where children one and two years of age were cared for, the television screen play nursery rhymes.”

Rule Screen time was offered 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: Jul 23, 2026. Correction verified: at a follow-up visit by DCDEE.

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.

“Staff employed 3/9/26 completed Recognizing and Responding to Suspicions of Child Maltreatment training on 7/13/26.”

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: Jul 31, 2026. Correction verified: by a letter from the provider.

Fire drills were not practiced monthly and/or the drill record was incomplete.

“Documentation of a fire drill was not on file for March 2026.”

Rule Fire drills were not practiced monthly and/or the drill record was incomplete.. Corrected during the inspection.

Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements.

“Documentation of a March 2026 playground inspection was not of file for review.”

Rule Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 14, 2026. Correction verified: by a letter from the provider.

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

“Mulch under the stationary rainbow climber measured one inch in depth.”

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: Apr 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 Mulch Glue was stored on the back porch used by children to access the outdoor play spaces.”

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. Staff employed on 10/9/17 has a CPR Certification card on file that expired 4/2025.”

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: May 28, 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. Staff employed on 10/9/17 has a First Aid Certification card on file that expired 4/2025.”

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

Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years.

“Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. The administrator, J. Frank, has an ITS-SIDS training certificate that expired on 7/31/24.”

Rule Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 28, 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. CPR certification for staff P. Wilson expired October 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: Feb 13, 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. First Aid certification for staff P. Wilson expired October 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: Feb 13, 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 1/2/25 did not have a medical report on file for review during the visit.”

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: Feb 13, 2025. Correction verified: by a letter from the provider.

Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages.

“In space #2, four children did not wash their hands upon arrival. In space #2, five children did not wash their hands prior to having breakfast.”

Rule Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 13, 2025. Correction verified: by a letter from the provider.

Child was handled roughly.

“A child, two years of age, was grabbed “forcefully” by the shoulders.”

Rule Child was handled roughly.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 20, 2024. Correction verified: at a follow-up visit by DCDEE.

A current activity plan was not posted for each group of children for reference.

“There was no activity plan posted in space #1 upon arrival. The posted activity plans in spaces#2 and #4, the activity plan posted was not current and dated 8/19/24-8/23/24.”

Rule A current activity plan was not posted for each group of children for reference.. Corrected during the inspection.

Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages.

“On child enrolled in space #1 and one child enrolled in space #2 did not wash their hands upon arrival.”

Rule Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 28, 2024. 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.

“Staff employed 7/9/24 completed orientation training on the required topics to be covered within the first two weeks on 8/2/24.”

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: Aug 28, 2024. Correction verified: by a letter from the provider.

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

“The posted menu reflect breakfast as: Honey Kix cereal, mandarin oranges, and milk. English muffins, 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.. Corrected during the inspection.

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. The latest fire inspection is dated 7/24/2023.”

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: Aug 28, 2024. Correction verified: by a letter from the provider.

Staff did not complete the health and safety training within one year of employment.

“Staff employed 8/4/23 completed ten of the eleven required health and safety training topics.”

Rule Staff did not complete the health and safety training within one year of employment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 28, 2024. Correction verified: by a letter from the provider.

Children between 12 and 24 months of age were grouped with children 3 years of age or older.

“Two children one year of age was present in space #2 with two children three years of age.”

Rule Children between 12 and 24 months of age were grouped with children 3 years of age or older.. 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: at a follow-up visit by DCDEE.

Children were not adequately supervised at all times.

“Staff, J. Witherspoon, left space #2, to open the door of the center, leaving six children alone in the classroom.”

Rule Children were not adequately supervised at all times.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 15, 2024. Correction verified: at a follow-up visit by DCDEE.

Human milk, formula and other bottled beverages including sippy cups, sent from child’s home were not fully prepared, dated, and labeled for the appropriate child.

“Two sippy cups located in space #1 did not have a label.”

Rule Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child.. Corrected during the inspection.