Small Impressions Child Care Center

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.

“The storage locker located in the bathroom off space #2 was unlocked and contain two cans of OxiClean Foam cleaner, one can of Wizard Odor Eliminator, one canister of Clorox Disinfectant Wipes, one can of Ultra Kill ant spray, and one can of Unstoppable air freshener.”

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 6/15/26 had a medical report on file dated 6/26/26.”

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: Aug 10, 2026. 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.

“Staff employed on 6/15/26 had a TB test results on file dated 6/18/26.”

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: Aug 10, 2026. Correction verified: by a letter from the provider.

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.

“Two of thirteen children permission to transport form was expired.”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 20, 2025. Correction verified: by a letter from the provider.

Children were not adequately supervised at all times.

“One staff member cared for seventeen children one to ten years of age on the playground while one staff member entered the building.”

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: Aug 14, 2025. Correction verified: at a follow-up visit by DCDEE.

Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member’s individual personnel file.

“Four of four staff did not have a current health questionnaire on file.”

Rule Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file.. Corrected during the inspection.

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

“A tube if Aquaphor was located on the seat and a nasal spray was in the center console of the van not in locked storage.”

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

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

“Staff hired on 7/17/24 did not complete the health and safety training within one year of employment.”

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 20, 2025. Correction verified: by a letter from the provider.

For routine transport of children to and from the center, staff did not use the list to document attendance as children boarded and departed the vehicle.

“Transportation rosters documenting the attendance was not available for the month of March 2025 on van #2.”

Rule For routine transport of children to and from the center, staff did not use the list to document attendance as children boarded and departed the vehicle.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 28, 2025. Correction verified: by a letter from the provider.

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

“The sink in the hallway bathroom was leaking. The bolts of the mulch border around the truck in outdoor space #2 we protruding, the patio storage seat was cracked, the shelf storage with the waffle blocks was rusted, and the seat to the seesaw was broken. The bolts on the carport shelter in outdoor space #2 were protruding and there was a crack in the mulch border that created a pinch point.”

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: Sep 11, 2024. Correction verified: by a letter from the provider.

Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics.

“Staff M. Everette did not have a five year renewal of the Recognizing and Responding to Suspicions of Maltreatment training.”

Rule Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 11, 2024. 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. The facilities last fire inspection was conducted on 8/29/23. The fire inspection was completed during todays visit.”

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

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

“Mulch around a stationary rock climbing structure in outdoor space #2 measured less than an inch.”

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: Sep 11, 2024. Correction verified: by a letter from the provider.

Toxic plants were accessible to children.

“In classrooms space #2 there was a Peace Lilly on top of a shelf in the block area.”

Rule Toxic plants were accessible to children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 11, 2024. Correction verified: by a letter from the provider.

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

“In outdoor space #2 there was an active ant hill by the stationary bike, two holes in the ground by the climber boarder and picnic tables that created a tripping hazard, there were small cracks in the bridge of the portable climber. In outdoor space #1 the top of the little tykes table was broken around the edges.”

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: Apr 17, 2024. Correction verified: by a letter from the provider.

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

“The window on the 2019 Transit XLT van was broken, cardboard was placed over the opening and tire treads on the front passenger and rear driver side measured 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: Apr 17, 2024. Correction verified: by a letter from the provider.

Center did not maintain a record of daily attendance.

“Attendance for children enrolled in classroom space #2 was not available for April 1-3, 2024.”

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

Incident logs were not completed and maintained as required.

“An incident report was on file for an incident that occurred on 2/1/2024, the incident was not documented on the incident log.”

Rule Incident logs were not completed and maintained as required.. Corrected during the inspection.

The EPR Plan did not include evacuation diagrams showing how the staff, children, and any other individuals who may be present will evacuate during an emergency.

“The facilities EPR plan did not include the evacuation diagram.”

Rule The EPR Plan did not include evacuation diagrams showing how the staff, children, and any other individuals who may be present will evacuate during an emergency.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 17, 2024. Correction verified: by a letter from the provider.

Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations.

“The 2019 Transit 350 XLT registration expired March 31, 2024.”

Rule Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 17, 2024. Correction verified: by a letter from the provider.