Opendoor Preschool, Simpson

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

“Nineteen tubes of diaper rash cream were stored in an unlocked drawer, below five feet, in the bathroom area of space#4.”

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

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

“A lockdown drill was completed on April 30, 2026 and a shelter in place drill was completed on August 14, 2026, therefor an emergency 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.. Corrected during the inspection.

Children were not adequately supervised at all times.

“On April 29, 2026, a child, three years of age, was left unattended on outdoor space #2 for approximately eight minutes.”

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: May 18, 2026. Correction verified: at a follow-up visit by DCDEE.

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

“Paint on and around the windowsills of spaces #3 and #4 had chipped and peeling paint. The is a violation of a sanitation requirement in 15A NCAC 18A .2825(a).”

Rule A violation was found for which there is no item number.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 16, 2025. 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.

“Authorization for Vaseline, located in space #4, expired 9/15/24.”

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

A drug or medicine was administered after its expiration date.

“One tube of Aquaphor Healing Ointment with an expiration date of 4/2025, was located in space #1.”

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

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 11/22/23, did not have a First Aid certification on file for review.”

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.

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

“In space #3, the authorization from for one tube of Desitin Diaper Rash Cream had an expiration date of 10/9/24.”

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 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 10/10/22 did not have documentation of First Aid certification on file for review.”

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

The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person’s file.

“Five of seven staff files reviewed had The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy dated beyond the first day of employment.”

Rule The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 27, 2023. Correction verified: by a letter from the provider.