Care-O-World Early Learning Center Winterville

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

“In space #3, a bottle of Children’s allergy cetirizine hydrochloride oral solution, 1mg antihistamine was stored in an unlocked bag hanging on a hook more than five feet above the floor.”

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

Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child’s developmental needs.

“A staff member cut a child’s fingernails with nail clippers and cut the child’s finger in the process.”

Rule Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 24, 2026. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“A violation was found for which there is no item number.15A NCAC 18A .2820 (g) Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children and shall be stored in accordance with this Rule, as applicable. A staff member used hair products and fingernail clippers, they brought from home on, children in care.”

Rule Rule violated (DCDEE’s description below). Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 24, 2026. Correction verified: by a letter from the provider.

Center staff did not comply with the safe sleep policy.

“One of seven sleep charts reviewed, indicated a child on February 17, 2026 was checked at 2:43pm and the next check was at 3:00pm.”

Rule Center staff did not comply with the safe sleep policy.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 3, 2026. Correction verified: by a letter from the provider.

Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.

“In space # 3, a bottle of sunscreen was on file with written permission that expired on 9/5/25 and a container of Aquaphor was on file with written permission that expired on 12/2/25.”

Rule Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 3, 2026. Correction verified: by a letter from the provider.

Emergency and identifying information, including the child’s name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported.

“Five (5) children’s information was missing a photograph. One child listed on transportation roster did not have emergency information available.”

Rule Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 15, 2025. Correction verified: by a letter from the provider.

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

“The depth of the mulch surrounding the stationary climber on playground # 3 measured at five (5) inches at the perimeter of the enclosure rather than the required six (6) inches.”

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 15, 2025. 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.

“An aerosol can of hair color spray was stored in the unlocked closet in Space #6.”

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.

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 #4 (designated for children two-years-of-age) a plastic zip lock bag used to store a child’s change of clothing was stored in the child’s bookbag.”

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.. Corrected during the inspection.

Rule violated (DCDEE’s description below)

“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. . One (1) staff person hired on 10/16/23, had a negative TB test dated 11/30/23.”

Rule Rule violated (DCDEE’s description below). Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 27, 2024. Correction verified: by a letter from the provider.

The written feeding plan was not modified as the child’s needs changed.

“The posted feeding plan for a 14 month old did not include modifications in consultation with the child’s parent or health care provider to reflect changes in the child’s needs as he or she develops.”

Rule The written feeding plan was not modified as the child's needs changed.. 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. One individual hired on 11/6/23 did not complete CPR training within 90 days of employment. One individual hired on 12/27/23 did not complete CPR training within 90 days of employment. Documentation of the completion of CPR training was not on file for one individual hired on 10/9/23 has not completed CPR training.”

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 14, 2024. 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. One individual hired on 11/6/23 did not complete First Aid training within 90 days of employment. One individual hired on 12/27/23 did not complete First Aid training within 90 days of employment. Documentation of the completion of First Aid training was not on file for one individual hired on 10/9/23.”

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 14, 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 fire inspection was completed within 12 months of the previous but not submitted within one week of the inspection.”

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: Apr 30, 2024. Correction verified: by a letter from the provider.

Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child’s file.

“The facility completes a “Boo Boo” note when children experience an injury that does not require medical attention.”

Rule Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 13, 2023. Correction verified: by a letter from the provider.