Kids-R-Us 3 Preschool & Childcare Center, LLC

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

“One tube of Desitin in space #5 had an authorization form that expired on May 8, 2026.”

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: Sep 21, 2026. 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 July 15, 2026 had a health assessment on file dated September 2, 2026.”

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: Sep 21, 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.

“In space #5, an aerosol can of air freshener was stored in a bookbag in an unlocked closet. One travel bottle of Champagne Toast hand sanitizer was on the keyring, stored on top of a shelf, below five feet.”

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.

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 competed on January 28, 2025 and the next inspection was completed on February 10, 2026. The report from the approved inspection was received on March 11, 2026.”

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: Mar 12, 2026. Correction verified: by a letter from the provider.

The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current.

“The EPR plan was last updated on February 6, 2025.”

Rule The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current.. Corrected during the inspection.

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

“Staff omitted steps in the diapering process by not using a wipes to wipe the child’s bottom, wipe the staff’s hands and wipe the children’s hands. This is a violation of sanitation rule 15A NCAC 18A .2819(d).”

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: Apr 15, 2025. 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 3/24/25 had a TB test on file dated 3/21/24.”

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: Apr 15, 2025. 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 28, 2025, a copy of the report was received on April 3, 2025.”

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 15, 2025. Correction verified: by a letter from the provider.

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

“A tablet played Mickey Mouse Clubhouse in space #5 where seven children, two years of age were cared for.”

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: 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.

“There was one canister of Lysol Disinfectant Wipes, one canister of Great Value Disinfectant Wipes, one travel sized bottle of Lysol Multipurpose Cleaner, and one bottle of Purell Surface Disinfectant located in an unlocked changing table cabinet of space #5.”

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.

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

“One tube of Boudreaux’s Butt Paste was stored in an unlocked cabinet of the changing table 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.

Parent’s medication authorization did not include required information.

“In space #1, there was one authorization form for a tube of Aquaphor Healing Ointment that did not include a parent signature.”

Rule Parent's medication authorization did not include required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 14, 2025. Correction verified: by a letter from the provider.

Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional.

“One tube of Triple Paste AF ointment was used for a child under two years of age, when the dosing instructions read “Do not use on children under 2 years of age unless directed by a doctor.” No documentation from a medical professional was on file at the time of the visit.”

Rule Questionable medication instructions from parents were followed without signed written dosage instructions received from physician 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: Oct 18, 2024. 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 #1, the authorization for prescription Mupirocin ointment expired 8/27/24. The medication log show the ointment was applied on 8/28/24, 8/29/24, 8/30/24, 9/4/24 and 9/5/24.”

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: Sep 24, 2024. Correction verified: by a letter from the provider.

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

“During a diaper change in space #5, the teacher placed a clean diaper under the fully dressed child, then removed the soiled diaper, closed the clean diaper and then redressed the child. This is a violation of Sanitation Rule 15A NCAC 18A .2819 (d) Diapering and Diaper Changing Facilities.”

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: Jul 21, 2024. 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.

“Children were observed not lathering their hands for twenty seconds in spaces #3 and #5.”

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: Jul 3, 2024. Correction verified: by a letter from the provider.

Each infant was not held for bottle feeding until he/she can hold his own bottle.

“It was reported that infants are placed in a bouncy seat for feedings as the staff hold the bottle.”

Rule Each infant was not held for bottle feeding until he/she can hold his own bottle.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 3, 2024. Correction verified: by a letter from the provider.

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

“It was reported that twelve (12) children, two years of age, were cared for my one staff member on June 14, 2024. It was reported that on June 28, 2024, eight (8) children, one year of age, were cared for by one staff member.”

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 10, 2024. Correction verified: at a follow-up visit by DCDEE.

The center did not comply with the permit restrictions.

“It was reported that school age children were cared for in the preschool building.”

Rule The center did not comply with the permit restrictions.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 3, 2024. Correction verified: by a letter from the provider.

A drug or medicine was administered after its expiration date.

“One tube of Budreaux Butt Paste with an expiration date of 4/2024 was located in the diapering area of space #2.”

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

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

“One canister of Triamicolone 0.1% was stored on an open shelf above five feet in the changing area of 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.

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

“One Ventolin HFA was stored in a Ziplock bag without the original labeled container.”

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

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

“In space #4, the paint is peeling from the wall. This is a violation of Sanitation Rule 15A NCAC 18A .2825 Wall and Ceilings (a). There was cracked dry all and peeling paint on the wall of space #2 near the block and dramatic play area. There was peeling paint on the wall in space #5, near the block area.”

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: May 9, 2024. 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 six children’s record reviewed contained immunization records dated beyond 30 days 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.. Corrected during the inspection.

Medical exam or health assessment record was not on file before or within 30 days after admission.

“One of six children’s record reviewed contained a medical report dated beyond 30 days of enrollment.”

Rule Medical exam or health assessment record was not on file before or within 30 days after admission.. Corrected during the inspection.

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

“A teacher in space #4 administered Slumber and Sleep Lavender oil to a child on 3/21/24 without written authorization. In space #2, there was a jar of petroleum jelly with no authorization form. In space #6, there was one Ventolin HFA inhaler with an authorization form that expired on 3/20/24 and one tube of Desitin with an authorization form that expired on 1/13/24.”

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